| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.79 | $41.79 | $368.06 | |
Cigna
| Facility | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $38.25 | $45.00 | $153.38 | |
Molina
| Professional | $56.92 | $82.44 | $119.35 | |
United
| Professional | $41.79 | $63.64 | $92.86 |