| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.63 | $11.63 | $95.36 | |
Cigna
| Facility | $21.85 | $21.85 | $28.68 | |
Cigna
| Professional | $18.57 | $21.85 | $37.88 | |
Molina
| Professional | $14.71 | $21.36 | $30.86 | |
United
| Professional | $11.63 | $15.98 | $25.84 |