| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.90 | $60.90 | $60.90 | |
Aetna
| Professional | $49.68 | $59.90 | $61.23 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Cigna
| Professional | $88.63 | $111.44 | $145.12 | |
Medcost
| Facility | $50.92 | $58.77 | $79.17 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $1,471.00 | $6,607.00 | $8,818.00 | |
United
| Professional | $37.79 | $47.93 | $83.77 |