| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.33 | $14.00 | $18.23 | |
Cigna
| Professional | $10.00 | $15.97 | $20.83 | |
Medcost
| Facility | $14.00 | $18.89 | $44.67 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $36.70 | $46.99 | $70.98 |