| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.56 | $11.56 | $93.31 | |
Cigna
| Facility | $22.28 | $22.28 | $29.25 | |
Cigna
| Professional | $18.94 | $22.28 | $39.75 | |
Molina
| Professional | $15.67 | $20.94 | $33.20 | |
United
| Professional | $11.56 | $16.13 | $25.68 |