| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.39 | $2.02 | $2.02 | |
Aetna
| Professional | $1.39 | $1.69 | $2.02 | |
Cigna
| Facility | $1.44 | $1.44 | $1.44 | |
Cigna
| Professional | $1.44 | $1.44 | $1.44 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $0.09 | $0.09 | $0.12 |