| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.12 | $20.12 | $174.23 | |
Cigna
| Facility | $39.90 | $39.90 | $39.90 | |
Cigna
| Professional | $33.92 | $39.90 | $70.88 | |
Molina
| Professional | $27.60 | $40.06 | $57.87 | |
United
| Professional | $20.12 | $30.13 | $44.72 |