| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.29 | $102.29 | $102.29 | |
Aetna
| Professional | $14.82 | $102.29 | $102.29 | |
Cigna
| Professional | $4.38 | $4.38 | $10.41 | |
Molina
| Professional | $52.62 | $68.40 | $83.13 | |
United
| Professional | $4.43 | $5.63 | $8.90 |