| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.20 | $37.60 | $60.36 | |
Cigna
| Professional | $40.77 | $48.19 | $64.22 | |
Medcost
| Facility | $36.90 | $42.28 | $77.69 | |
Medcost
| Professional | $52.46 | $52.46 | $52.46 | |
Molina
| Professional | $25.87 | $27.49 | $34.41 | |
United
| Professional | $41.69 | $53.54 | $76.14 |