| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.78 | $26.66 | $80.83 | |
Cigna
| Professional | $19.00 | $25.50 | $27.78 | |
Medcost
| Facility | $3.56 | $5.30 | $36.14 | |
Molina
| Professional | $30.00 | $30.00 | $47.25 | |
United
| Professional | $4.97 | $7.75 | $26.32 |