| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.42 | $18.42 | $156.43 | |
Cigna
| Facility | $25.20 | $25.20 | $25.20 | |
Cigna
| Professional | $21.42 | $25.20 | $62.63 | |
Molina
| Professional | $23.51 | $34.13 | $49.30 | |
United
| Professional | $18.42 | $24.59 | $40.94 |