| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.22 | $38.22 | $327.78 | |
Cigna
| Facility | $74.67 | $74.67 | $74.67 | |
Cigna
| Professional | $63.47 | $74.67 | $128.25 | |
Molina
| Professional | $51.75 | $74.96 | $108.27 | |
United
| Professional | $38.22 | $56.68 | $84.93 |