| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $18.20 | $25.70 | $38.02 | |
Cigna
| Professional | $19.05 | $19.05 | $19.05 | |
Molina
| Professional | $19.95 | $25.12 | $58.88 | |
United
| Professional | $20.89 | $26.92 | $39.81 |