| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.72 | $1.72 | $1.72 | |
Aetna
| Professional | $1.72 | $1.72 | $1.72 | |
Cigna
| Professional | $0.75 | $0.75 | $0.94 | |
Molina
| Professional | $60.00 | $60.00 | $92.26 | |
United
| Professional | $4.17 | $4.17 | $4.17 |