| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Cigna
| Professional | $5.62 | $12.02 | $15.14 | |
Medcost
| Facility | $11.48 | $19.05 | $25.70 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $4.47 | $5.75 | $8.71 |