| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $523.79 | $523.79 | $523.79 | |
Aetna
| Professional | $523.79 | $523.79 | $523.79 | |
Cigna
| Facility | $568.02 | $568.02 | $695.55 | |
Cigna
| Professional | $59.58 | $568.02 | $866.25 | |
Molina
| Professional | $37.50 | $37.50 | $60.00 | |
United
| Professional | $492.35 | $511.68 | $852.80 |