| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.75 | $373.32 | $441.97 | |
Aetna
| Professional | $596.79 | $596.79 | $1,559.20 | |
Cigna
| Facility | $91.03 | $184.45 | $232.08 | |
Cigna
| Professional | $73.48 | $80.56 | $321.00 | |
Molina
| Professional | $50.00 | $50.00 | $168.96 | |
United
| Facility | $179.57 | $179.57 | $404.03 |