| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.02 | $39.02 | $290.27 | |
Cigna
| Facility | $66.38 | $66.38 | $66.38 | |
Cigna
| Professional | $56.42 | $66.38 | $114.38 | |
Molina
| Professional | $45.91 | $66.49 | $96.26 | |
United
| Professional | $39.02 | $50.19 | $86.71 |