| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.28 | $7,799.00 | $21,886.00 | |
Aetna
| Professional | $47.57 | $50.28 | $53.73 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Medcost
| Facility | $47.02 | $47.63 | $67.88 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $42.48 | $54.06 | $85.09 |