| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.11 | $2.74 | $2.74 | |
Aetna
| Professional | $1.11 | $2.74 | $2.74 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $2.85 | $2.85 | $2.85 | |
Wellpoint
| Professional | $1.87 | $1.87 | $2.29 |