| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Medcost
| Facility | $3.98 | $3.98 | $7.08 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $7.94 | $7.94 | $8.51 |