| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.71 | $6.20 | $6.20 | |
Aetna
| Professional | $0.71 | $6.20 | $6.20 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $4.30 | $4.30 | $4.30 | |
Wellpoint
| Professional | $2.49 | $2.49 | $4.17 |