| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $588.84 | $724.44 | |
Aetna
| Professional | $316.23 | $316.23 | $436.52 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $257.04 | $602.56 | $891.25 |