| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.94 | $13.94 | $107.15 | |
Cigna
| Facility | $24.94 | $24.94 | $24.94 | |
Cigna
| Professional | $21.20 | $24.94 | $43.88 | |
Molina
| Professional | $16.93 | $24.58 | $35.51 | |
United
| Professional | $2.80 | $18.53 | $30.97 |