| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $38.02 | |
Aetna
| Professional | $8.91 | $8.91 | $38.02 | |
Cigna
| Professional | $14.13 | $14.13 | $17.78 | |
Molina
| Professional | $23.44 | $30.20 | $44.67 | |
United
| Professional | $10.00 | $10.23 | $12.59 |