| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.23 | $20.23 | $170.17 | |
Cigna
| Facility | $38.63 | $38.63 | $38.63 | |
Cigna
| Professional | $32.84 | $38.63 | $68.25 | |
Molina
| Professional | $26.66 | $38.70 | $55.91 | |
United
| Professional | $20.23 | $29.42 | $44.98 |