| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.93 | $10.93 | $10.93 | |
Aetna
| Professional | $1.57 | $10.93 | $10.93 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
Molina
| Professional | $30.00 | $60.00 | $60.00 | |
United
| Professional | $20.62 | $25.29 | $39.47 |