| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $25.12 | $37.15 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
Molina
| Professional | $32.36 | $33.11 | $100.00 | |
Pacific Source
| Facility | $47.86 | $57.54 | $58.88 | |
United
| Professional | $37.15 | $38.02 | $45.71 |