| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.17 | $497.10 | $950.00 | |
Aetna
| Professional | $140.31 | $210.86 | $475.00 | |
Cigna
| Facility | $50.27 | $498.05 | $750.00 | |
Cigna
| Professional | $78.86 | $105.17 | $259.98 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 |