| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $252.12 | |
Cigna
| Professional | $10.94 | $11.29 | $29.94 | |
Medcost
| Facility | $14.51 | $23.84 | $23.84 | |
Medcost
| Professional | $22.94 | $22.94 | $23.39 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $10.16 | $13.17 | $26.32 |