| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $8.91 | $10.96 | |
Cigna
| Professional | $9.12 | $9.12 | $9.12 | |
Medcost
| Facility | $7.59 | $10.47 | $12.59 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $6.03 | $6.46 | $9.12 |