| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.35 | $35.36 | $251.89 | |
Cigna
| Facility | $55.97 | $55.97 | $73.45 | |
Cigna
| Professional | $47.57 | $55.97 | $100.50 | |
Molina
| Professional | $40.69 | $59.07 | $85.15 | |
United
| Professional | $6.12 | $41.89 | $78.56 |