| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.77 | $11.36 | $11.36 | |
Aetna
| Professional | $7.77 | $8.05 | $11.36 | |
Cigna
| Facility | $3.79 | $3.79 | $4.17 | |
Cigna
| Professional | $3.79 | $3.79 | $3.79 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $3.64 | $3.79 | $4.93 |