| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.41 | $10.41 | $78.45 | |
Cigna
| Facility | $20.13 | $20.13 | $20.13 | |
Cigna
| Professional | $17.11 | $20.13 | $42.66 | |
Molina
| Professional | $12.62 | $18.33 | $26.48 | |
United
| Professional | $10.41 | $13.57 | $23.13 |