| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.09 | $47.70 | $70.61 | |
Cigna
| Professional | $49.99 | $49.99 | $49.99 | |
Medcost
| Facility | $34.94 | $52.57 | $77.23 | |
Molina
| Professional | $52.98 | $75.96 | $118.77 | |
United
| Professional | $57.01 | $70.47 | $127.20 |