| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $1,072.90 | |
Aetna
| Professional | $30.00 | $30.00 | $770.20 | |
Cigna
| Professional | $405.00 | $675.00 | $1,138.23 | |
Medcost
| Facility | $30.00 | $1,950.00 | $3,000.00 | |
Molina
| Professional | $405.00 | $405.00 | $913.50 | |
United
| Professional | $41.62 | $64.00 | $80.00 |