| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.40 | $348.65 | $391.34 | |
Aetna
| Professional | $3.40 | $3.40 | $3.40 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $20.38 | $20.38 | $20.38 |