| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.67 | $48.00 | $56.15 | |
Cigna
| Professional | $42.96 | $59.50 | $88.24 | |
Medcost
| Facility | $37.33 | $52.00 | $84.92 | |
Molina
| Professional | $33.34 | $33.34 | $33.34 | |
United
| Professional | $42.32 | $51.61 | $84.10 |