| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.88 | $13.18 | |
Cigna
| Facility | $13.49 | $85.11 | $85.11 | |
Cigna
| Professional | $13.49 | $13.49 | $13.49 | |
Medcost
| Facility | $5.37 | $13.18 | $19.95 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $1.35 | $2.00 | $3.02 |