| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.19 | $37.19 | $37.19 | |
Aetna
| Professional | $37.19 | $38.99 | $38.99 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Medcost
| Facility | $31.61 | $39.36 | $78.84 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $39.47 | $56.34 | $78.52 |