| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $52.48 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Medcost
| Facility | $47.86 | $63.10 | $102.33 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $40.74 | $50.12 | $85.11 |