| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.64 | $78.08 | $93.05 | |
Cigna
| Professional | $40.00 | $77.56 | $146.60 | |
Medcost
| Facility | $64.22 | $87.68 | $130.66 | |
Molina
| Professional | $50.63 | $50.63 | $59.98 | |
United
| Professional | $72.83 | $90.22 | $144.29 |