| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.82 | $57.45 | $68.54 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Medcost
| Facility | $54.02 | $57.45 | $71.23 | |
Molina
| Professional | $58.20 | $58.20 | $72.75 | |
United
| Professional | $48.00 | $48.00 | $48.00 |