| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Cigna
| Facility | $48.43 | $103.00 | $754.00 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $185.87 | $185.87 | $418.21 |