| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.90 | $25.90 | $42.70 | |
Aetna
| Professional | $18.63 | $26.19 | $42.70 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Molina
| Professional | $17.00 | $21.25 | $45.00 | |
United
| Professional | $24.30 | $29.50 | $45.41 |