| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $24.86 | $24.86 | |
Aetna
| Professional | $16.98 | $17.61 | $24.86 | |
Cigna
| Facility | $19.00 | $19.00 | $19.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $19.89 | $20.72 | $26.94 |