| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $4,387.00 | $40,727.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Cigna
| Facility | $14,746.82 | $18,042.95 | $30,211.89 | |
Molina
| Professional | $520.47 | $520.47 | $520.47 | |
United
| Facility | $2,312.00 | $2,446.00 | $50,581.00 |