| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $9.12 | $10.96 | $54.95 | |
Medcost
| Facility | $17.38 | $17.38 | $23.44 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.00 | $13.18 | $25.70 |