| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.26 | $73.77 | $265.89 | |
Aetna
| Professional | $193.29 | $265.89 | $337.69 | |
Cigna
| Facility | $750.00 | $750.00 | $750.00 | |
Molina
| Professional | $38.25 | $50.00 | $80.00 | |
United
| Professional | $242.44 | $346.47 | $646.72 |