| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.35 | $34.35 | $34.35 | |
Aetna
| Professional | $32.42 | $33.72 | $35.86 | |
Cigna
| Professional | $46.59 | $58.58 | $91.63 | |
Medcost
| Facility | $30.12 | $32.90 | $44.66 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $1,471.00 | $6,607.00 | $8,818.00 | |
United
| Professional | $24.80 | $31.35 | $54.87 |