| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,717.90 | $12,717.90 | $12,717.90 | |
Aetna
| Professional | $1,033.86 | $9,946.04 | $9,946.04 | |
Cigna
| Professional | $6,307.84 | $6,620.11 | $7,931.64 | |
Hally Health
| Professional | $5,978.50 | $9,239.50 | $11,445.77 | |
Molina
| Professional | $7,391.60 | $7,989.45 | $8,152.50 | |
United
| Professional | $796.74 | $1,138.20 | $2,282.69 |