| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.87 | $63.98 | $82.24 | |
Cigna
| Professional | $89.78 | $89.78 | $89.78 | |
Medcost
| Facility | $51.02 | $63.11 | $74.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $50.53 | $62.85 | $89.87 |