| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $751.03 | |
Aetna
| Professional | $30.00 | $30.00 | $539.14 | |
Cigna
| Professional | $270.00 | $450.00 | $758.82 | |
Medcost
| Facility | $30.00 | $1,950.00 | $3,000.00 | |
Molina
| Professional | $270.00 | $270.00 | $609.00 | |
United
| Professional | $41.62 | $64.00 | $80.00 |