| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.59 | $6.59 | $48.13 | |
Cigna
| Facility | $10.65 | $10.65 | $13.97 | |
Cigna
| Professional | $9.05 | $10.65 | $18.00 | |
Molina
| Professional | $7.65 | $11.39 | $16.04 | |
United
| Professional | $6.59 | $8.06 | $14.65 |