| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $429.16 | |
Aetna
| Professional | $30.00 | $30.00 | $308.08 | |
Cigna
| Professional | $135.00 | $225.00 | $379.41 | |
Medcost
| Facility | $30.00 | $1,950.00 | $3,000.00 | |
Molina
| Professional | $135.00 | $135.00 | $304.50 | |
United
| Professional | $43.00 | $65.00 | $80.00 |