| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.50 | $30.50 | $30.50 | |
Aetna
| Professional | $30.00 | $32.15 | $36.76 | |
Cigna
| Professional | $21.90 | $21.90 | $21.90 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
United
| Professional | $30.94 | $40.09 | $40.09 |