| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $354.81 | $389.05 | |
Aetna
| Professional | $3.02 | $14.13 | $19.95 | |
Cigna
| Professional | $17.78 | $17.78 | $17.78 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 | |
United
| Professional | $20.89 | $20.89 | $20.89 |