| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.00 | $24.00 | $24.00 | |
Aetna
| Professional | $19.57 | $24.00 | $24.00 | |
Cigna
| Facility | $23.72 | $23.72 | $23.72 | |
Cigna
| Professional | $17.32 | $23.72 | $23.72 | |
Molina
| Professional | $35.00 | $45.00 | $60.00 |