| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $444.10 | $444.10 | $444.10 | |
Cigna
| Facility | $795.00 | $795.00 | $810.90 | |
Cigna
| Professional | $106.49 | $795.00 | $1,571.25 | |
Molina
| Professional | $60.00 | $811.01 | $989.04 | |
United
| Professional | $363.33 | $668.58 | $807.40 |