| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.63 | $11.63 | $99.87 | |
Cigna
| Facility | $23.28 | $23.28 | $30.56 | |
Cigna
| Professional | $19.79 | $23.28 | $40.50 | |
Molina
| Professional | $15.80 | $25.44 | $33.13 | |
United
| Professional | $11.63 | $17.27 | $25.85 |