| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.45 | $2.45 | $2.45 | |
Aetna
| Professional | $2.45 | $2.45 | $2.54 | |
Cigna
| Facility | $1.73 | $1.73 | $1.73 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $1.52 | $1.52 | $1.52 |