| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $2,825.00 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $3,776.47 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $455.00 | $858.00 | $1,957.00 |