| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $37.20 | $536.45 | |
Aetna
| Professional | $30.00 | $30.00 | $378.05 | |
Cigna
| Professional | $180.00 | $300.00 | $505.88 | |
Medcost
| Facility | $30.00 | $1,950.00 | $3,000.00 | |
Molina
| Professional | $180.00 | $180.00 | $406.00 | |
United
| Professional | $41.62 | $59.00 | $77.00 |