| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $589.89 | $722.40 | |
Aetna
| Professional | $314.18 | $314.18 | $433.26 | |
Cigna
| Facility | $852.91 | $852.91 | $852.91 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |