| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.67 | $8.67 | $8.67 | |
Aetna
| Professional | $8.67 | $8.67 | $14.37 | |
Cigna
| Facility | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $12.08 | $14.21 | $21.75 | |
Molina
| Professional | $20.47 | $45.00 | $60.00 | |
United
| Professional | $9.46 | $9.69 | $15.77 |