| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,035.50 | $1,035.50 | $1,035.50 | |
Aetna
| Professional | $1,035.50 | $1,035.50 | $1,035.50 | |
Cigna
| Professional | $160.65 | $1,491.30 | $2,887.50 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Facility | $98.55 | $910.68 | $1,573.00 | |
United
| Professional | $973.26 | $993.47 | $2,086.02 |