| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $77.62 | $114.82 | |
Aetna
| Professional | $19.50 | $19.50 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
Molina
| Professional | $39.81 | $39.81 | $60.26 | |
United
| Professional | $34.67 | $39.81 | $60.26 |