| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,388.44 | $10,000.00 | |
Aetna
| Professional | $407.38 | $776.25 | $8,128.31 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Molina
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Facility | $363.08 | $2,041.74 | $5,128.61 | |
Wellpoint
| Professional | $389.05 | $389.05 | $389.05 |