| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.50 | $2.50 | $19.05 | |
Cigna
| Facility | $4.20 | $4.20 | $5.51 | |
Cigna
| Professional | $3.57 | $4.20 | $7.50 | |
Molina
| Professional | $4.09 | $5.00 | $6.51 | |
United
| Professional | $2.50 | $3.05 | $5.57 |