| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.91 | $10.91 | $99.10 | |
Cigna
| Facility | $22.73 | $22.73 | $29.83 | |
Cigna
| Professional | $19.32 | $22.73 | $40.13 | |
Molina
| Professional | $15.92 | $23.11 | $33.38 | |
United
| Professional | $10.91 | $16.09 | $24.24 |