| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $7.94 | $64.78 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $12.38 | $14.57 | $25.88 | |
Molina
| Professional | $9.94 | $14.55 | $21.06 | |
United
| Professional | $7.94 | $11.20 | $17.64 |