| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.43 | $24.05 | $24.05 | |
Aetna
| Professional | $16.43 | $17.03 | $24.05 | |
Cigna
| Facility | $16.98 | $16.98 | $18.69 | |
Cigna
| Professional | $16.98 | $16.98 | $16.98 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $19.23 | $20.04 | $25.65 |