| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.51 | $22.51 | $191.48 | |
Cigna
| Facility | $42.49 | $42.49 | $55.77 | |
Cigna
| Professional | $36.11 | $42.49 | $74.63 | |
Molina
| Professional | $31.21 | $45.30 | $65.29 | |
United
| Professional | $22.51 | $31.72 | $50.02 |