| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $28.18 | $38.90 | $46.77 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Medcost
| Facility | $37.15 | $46.77 | $79.43 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $158.49 | $181.97 | $239.88 | |
United
| Professional | $39.81 | $51.29 | $75.86 |