| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.80 | $896.80 | $896.80 | |
Aetna
| Professional | $640.32 | $869.18 | $933.81 | |
Cigna
| Professional | $71.76 | $71.76 | $5,096.25 | |
Molina
| Professional | $44.57 | $71.73 | $93.45 | |
United
| Professional | $46.30 | $60.85 | $175.79 |