| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.06 | $8.06 | $73.73 | |
Cigna
| Facility | $17.30 | $17.30 | $17.30 | |
Cigna
| Professional | $14.71 | $17.30 | $38.44 | |
Molina
| Professional | $11.65 | $16.92 | $24.44 | |
United
| Professional | $8.06 | $12.75 | $17.89 |