| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $3.04 | $3.04 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Medcost
| Facility | $3.95 | $24.00 | $40.64 | |
Molina
| Professional | $18.39 | $20.80 | $30.00 | |
United
| Professional | $13.12 | $16.00 | $32.00 |