| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.13 | $487.13 | $487.13 | |
Aetna
| Professional | $487.13 | $487.13 | $487.13 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $59.58 | $545.00 | $866.25 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $457.90 | $499.25 | $981.12 |