| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $1,995.26 | $6,456.54 | |
Cigna
| Facility | $5,248.07 | $5,248.07 | $5,248.07 | |
Molina
| Professional | $21.38 | $38.02 | $50.12 | |
United
| Facility | $977.24 | $4,168.69 | $10,964.78 |