| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.96 | $63.94 | $92.29 | |
Cigna
| Professional | $61.70 | $75.00 | $98.07 | |
Medcost
| Facility | $55.62 | $71.59 | $121.28 | |
Medcost
| Professional | $83.32 | $83.32 | $83.32 | |
Molina
| Professional | $75.38 | $80.44 | $94.67 | |
United
| Professional | $64.15 | $81.42 | $117.18 |