| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.13 | $7,799.00 | $21,886.00 | |
Aetna
| Professional | $73.13 | $76.92 | $76.92 | |
Cigna
| Facility | $21,239.00 | $32,000.00 | $58,466.00 | |
Medcost
| Facility | $62.16 | $104.70 | $670.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 | |
United
| Professional | $78.42 | $118.90 | $262.95 |