| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.14 | $19.00 | $24.37 | |
Cigna
| Professional | $12.00 | $12.78 | $13.89 | |
Medcost
| Facility | $5.72 | $16.14 | $23.56 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $4.73 | $6.52 | $9.07 |