| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.56 | $28.56 | $196.26 | |
Cigna
| Facility | $41.54 | $41.54 | $55.62 | |
Cigna
| Professional | $35.31 | $41.54 | $72.75 | |
Molina
| Professional | $28.69 | $46.18 | $60.03 | |
United
| Professional | $32.83 | $32.83 | $44.91 |