| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.66 | $21.66 | $190.95 | |
Cigna
| Facility | $44.42 | $44.42 | $44.42 | |
Cigna
| Professional | $37.76 | $44.42 | $77.63 | |
Molina
| Professional | $26.33 | $38.22 | $55.21 | |
United
| Professional | $21.66 | $28.91 | $48.13 |