| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.54 | $0.54 | |
Aetna
| Professional | $0.37 | $0.38 | $0.54 | |
Cigna
| Facility | $3.49 | $3.49 | $3.49 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $4.04 | $4.25 | $5.53 |