| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $251.19 | $933.25 | |
Aetna
| Professional | $3.02 | $15.85 | $19.95 | |
Cigna
| Facility | $17.78 | $17.78 | $17.78 | |
Cigna
| Professional | $17.78 | $17.78 | $17.78 | |
Medcost
| Facility | $3.39 | $17.78 | $22.39 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $20.42 | $20.89 | $21.88 |