| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.41 | $1.41 | $1.41 | |
Cigna
| Facility | $0.28 | $0.28 | $0.28 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $0.37 | $0.39 | $0.50 |