| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.52 | $81.30 | $95.21 | |
Cigna
| Facility | $84.48 | $84.48 | $85.11 | |
Cigna
| Professional | $76.70 | $76.70 | $84.48 | |
Molina
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $75.52 | $95.66 | $130.90 |