| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $6.46 | |
Cigna
| Facility | $4.12 | $4.12 | $4.12 | |
Cigna
| Professional | $3.50 | $4.12 | $6.00 | |
Molina
| Professional | $4.38 | $5.85 | $45.00 | |
United
| Professional | $0.32 | $0.32 | $0.32 |