| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.16 | $25.16 | $226.52 | |
Cigna
| Facility | $46.80 | $46.80 | $46.80 | |
Cigna
| Professional | $39.78 | $46.80 | $92.25 | |
Molina
| Professional | $36.47 | $52.94 | $76.47 | |
United
| Professional | $35.18 | $38.49 | $55.90 |