| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.43 | $80.59 | $80.59 | |
Cigna
| Facility | $88.70 | $88.70 | $98.28 | |
Cigna
| Professional | $10.41 | $75.40 | $196.88 | |
Molina
| Professional | $11.18 | $11.18 | $60.00 | |
United
| Professional | $7.12 | $11.63 | $118.20 |