| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.98 | $27.64 | $50.40 | |
Cigna
| Professional | $21.00 | $29.87 | $46.74 | |
Medcost
| Facility | $21.03 | $26.82 | $49.61 | |
Medcost
| Professional | $21.93 | $65.00 | $65.00 | |
Molina
| Professional | $12.61 | $14.00 | $15.76 | |
United
| Professional | $22.78 | $28.25 | $44.46 |