| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.77 | $10.77 | $10.77 | |
Aetna
| Professional | $10.38 | $10.77 | $11.02 | |
Cigna
| Professional | $8.19 | $8.19 | $8.19 | |
Molina
| Professional | $13.35 | $14.59 | $60.00 | |
United
| Professional | $12.97 | $12.97 | $12.97 |