| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.38 | $100.38 | $100.38 | |
Aetna
| Professional | $97.96 | $100.38 | $104.01 | |
Cigna
| Facility | $102.80 | $102.80 | $102.80 | |
Cigna
| Professional | $102.80 | $102.80 | $102.80 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
United
| Professional | $100.78 | $100.78 | $100.78 |