| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.38 | $36.38 | $321.45 | |
Cigna
| Facility | $73.97 | $73.97 | $97.09 | |
Cigna
| Professional | $62.87 | $73.97 | $132.38 | |
Molina
| Professional | $52.24 | $75.68 | $109.55 | |
United
| Professional | $36.38 | $55.40 | $80.84 |