| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $4.57 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Molina
| Professional | $32.36 | $33.11 | $75.86 | |
United
| Professional | $23.44 | $35.48 | $58.88 |