| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $28.84 | $50.12 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medcost
| Facility | $2.00 | $2.00 | $2.00 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 | |
United
| Facility | $0.06 | $0.28 | $0.56 | |
United
| Professional | $0.21 | $0.52 | $0.60 |