| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $61.66 | $77.62 | |
Cigna
| Professional | $39.81 | $60.26 | $93.33 | |
Medcost
| Facility | $53.70 | $64.57 | $107.15 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $51.29 | $67.61 | $97.72 |