| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $877.71 | $1,457.00 | $2,828.00 | |
Aetna
| Professional | $643.02 | $890.03 | $1,266.69 | |
Cigna
| Facility | $2,700.00 | $2,875.00 | $4,867.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Facility | $1,360.00 | $8,766.00 | $15,000.00 | |
United
| Professional | $1,029.98 | $1,523.31 | $2,817.65 |