| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $57.54 | $77.62 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Medcost
| Facility | $48.98 | $57.54 | $69.18 | |
Molina
| Professional | $30.20 | $57.54 | $72.44 | |
United
| Professional | $47.86 | $47.86 | $47.86 |