| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.47 | $26.47 | $26.47 | |
Aetna
| Professional | $3.04 | $26.47 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Molina
| Professional | $30.00 | $60.00 | $60.00 | |
United
| Professional | $14.19 | $17.43 | $26.31 |