| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $69.18 | $97.72 | |
Cigna
| Professional | $50.12 | $74.13 | $120.23 | |
Medcost
| Facility | $58.88 | $72.44 | $102.33 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $54.95 | $70.79 | $107.15 |