| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.23 | $74.23 | $84.84 | |
Aetna
| Professional | $70.70 | $72.81 | $84.84 | |
Cigna
| Facility | $70.70 | $70.70 | $70.70 | |
Cigna
| Professional | $70.70 | $70.70 | $70.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $67.17 | $70.70 | $91.91 |