| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $9,120.11 | $16,595.87 | |
Aetna
| Professional | $54.95 | $72.44 | $87.10 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Medcost
| Facility | $57.54 | $74.13 | $117.49 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $158.49 | $181.97 | $239.88 | |
United
| Professional | $63.10 | $79.43 | $125.89 |