| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $78.93 | |
Aetna
| Professional | $4.88 | $4.88 | $4.88 | |
Cigna
| Professional | $3.57 | $3.57 | $3.57 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $2.62 | $2.81 | $5.75 |