| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.81 | $250.16 | $929.79 | |
Aetna
| Professional | $16.28 | $16.28 | $20.23 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Medcost
| Facility | $0.33 | $1.02 | $22.29 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $20.38 | $20.38 | $22.42 |