| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.51 | $66.51 | $66.51 | |
Aetna
| Professional | $32.02 | $66.51 | $87.33 | |
Cigna
| Facility | $84.88 | $84.88 | $84.88 | |
Medcost
| Facility | $56.53 | $79.20 | $96.01 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $44.03 | $50.71 | $83.08 |