| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.35 | $24.35 | $24.35 | |
Aetna
| Professional | $23.68 | $24.35 | $26.46 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Cigna
| Professional | $70.65 | $70.65 | $70.65 | |
Medcost
| Facility | $23.68 | $24.59 | $31.66 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $1,471.00 | $6,607.00 | $8,818.00 | |
United
| Professional | $19.57 | $24.15 | $39.39 |