| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.02 | $42.02 | $58.08 | |
Aetna
| Professional | $31.39 | $49.76 | $67.73 | |
Cigna
| Professional | $40.11 | $54.83 | $110.75 | |
Medcost
| Facility | $31.53 | $50.92 | $85.01 | |
Medcost
| Professional | $41.08 | $41.08 | $44.36 | |
Molina
| Professional | $53.33 | $69.89 | $87.20 | |
United
| Professional | $37.50 | $46.99 | $88.60 |