| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.31 | $65.31 | $65.31 | |
Aetna
| Professional | $62.54 | $63.34 | $65.31 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Medcost
| Facility | $55.51 | $65.31 | $138.46 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 | |
United
| Professional | $54.81 | $67.84 | $120.63 |