| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $9,120.11 | $16,595.87 | |
Aetna
| Professional | $56.23 | $77.62 | $95.50 | |
Cigna
| Facility | $16,982.44 | $30,902.95 | $61,659.50 | |
Medcost
| Facility | $72.44 | $93.33 | $204.17 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 | |
United
| Professional | $77.62 | $112.20 | $229.09 |