| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $77.62 | $114.82 | |
Cigna
| Facility | $0.22 | $0.22 | $0.22 | |
Cigna
| Professional | $0.22 | $0.22 | $0.22 | |
Molina
| Professional | $0.22 | $0.22 | $30.20 | |
United
| Professional | $0.21 | $0.22 | $0.40 |