| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.81 | $23.81 | $23.81 | |
Aetna
| Professional | $23.24 | $23.81 | $24.67 | |
Cigna
| Facility | $24.39 | $24.39 | $24.74 | |
Cigna
| Professional | $24.39 | $24.39 | $24.39 | |
Molina
| Professional | $30.00 | $45.00 | $121.53 | |
United
| Professional | $28.69 | $28.69 | $28.69 |