| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.88 | $993.00 | $2,010.00 | |
Aetna
| Professional | $48.65 | $63.84 | $91.29 | |
Cigna
| Facility | $1,000.00 | $2,900.00 | $3,975.00 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 | |
United
| Professional | $75.25 | $111.23 | $205.86 |