| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.26 | $24.07 | $30.31 | |
Cigna
| Professional | $18.00 | $26.40 | $42.61 | |
Medcost
| Facility | $20.89 | $25.48 | $39.15 | |
Molina
| Professional | $32.34 | $40.43 | $63.07 | |
United
| Professional | $19.52 | $25.21 | $38.97 |