| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.23 | $16.23 | $19.04 | |
Aetna
| Professional | $13.53 | $16.23 | $19.07 | |
Cigna
| Facility | $21.36 | $21.36 | $21.36 | |
Cigna
| Professional | $15.77 | $15.77 | $82.61 | |
Molina
| Professional | $22.10 | $32.34 | $32.34 | |
United
| Professional | $15.75 | $20.71 | $30.53 |