| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.19 | $193.19 | $193.19 | |
Cigna
| Facility | $382.81 | $382.81 | $382.81 | |
Cigna
| Professional | $40.29 | $382.81 | $611.25 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $181.62 | $216.54 | $360.90 |