| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.11 | $86.43 | $117.87 | |
Aetna
| Professional | $8.30 | $11.11 | $13.81 | |
Cigna
| Facility | $8.34 | $8.34 | $18.00 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
Medcost
| Facility | $11.11 | $15.10 | $23.55 | |
Medcost
| Professional | $15.50 | $15.50 | $15.50 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
United
| Professional | $5.63 | $8.44 | $11.44 |