| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $34.77 | $42.35 | |
Cigna
| Professional | $31.07 | $31.07 | $31.07 | |
Medcost
| Facility | $34.02 | $38.25 | $48.39 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $29.71 | $36.70 | $50.00 |