| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $51.29 | $72.44 | $83.18 | |
Cigna
| Facility | $1,000.00 | $2,884.03 | $3,981.07 | |
Molina
| Professional | $21.38 | $21.38 | $25.12 | |
United
| Facility | $724.44 | $1,445.44 | $4,073.80 | |
United
| Professional | $75.86 | $102.33 | $204.17 |