| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $79.43 | |
Aetna
| Professional | $2.00 | $3.02 | $3.98 | |
Cigna
| Professional | $3.72 | $3.72 | $3.72 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 | |
United
| Professional | $2.63 | $2.82 | $5.75 |