| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.19 | $44.19 | $44.19 | |
Aetna
| Professional | $43.12 | $44.19 | $45.79 | |
Cigna
| Facility | $45.25 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
United
| Professional | $44.36 | $44.36 | $44.36 |