| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $14.13 | $18.20 | |
Cigna
| Professional | $4.90 | $12.02 | $18.20 | |
Medcost
| Facility | $10.00 | $14.13 | $19.05 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $3.89 | $5.01 | $7.59 |