| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $501.19 | $1,174.90 | |
Aetna
| Professional | $95.50 | $141.25 | $549.54 | |
Cigna
| Facility | $478.63 | $501.19 | $758.58 | |
Cigna
| Professional | $56.23 | $93.33 | $398.11 | |
Molina
| Professional | $21.38 | $25.12 | $66.07 | |
United
| Facility | $63.10 | $158.49 | $218.78 |