| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $14.13 | $23.99 | |
Cigna
| Professional | $10.00 | $14.13 | $43.65 | |
Medcost
| Facility | $13.18 | $14.79 | $24.55 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $35.48 | $44.67 | $67.61 |