| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.57 | $1.57 | $1.57 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
Medcost
| Facility | $2.69 | $24.00 | $60.96 | |
Molina
| Professional | $27.60 | $31.20 | $31.20 | |
United
| Professional | $19.68 | $24.00 | $41.26 |