| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.92 | $18.92 | $18.92 | |
Aetna
| Professional | $18.47 | $18.92 | $19.61 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Molina
| Professional | $23.44 | $25.62 | $25.62 |