| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.92 | $10.92 | $93.27 | |
Cigna
| Facility | $21.27 | $21.27 | $21.27 | |
Cigna
| Professional | $18.07 | $21.27 | $37.50 | |
Molina
| Professional | $14.69 | $21.33 | $30.81 | |
United
| Professional | $15.28 | $16.13 | $24.27 |