| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $482.22 | $482.22 | $482.22 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $120.90 | $398.65 | $2,198.44 | |
Molina
| Professional | $575.01 | $1,014.00 | $1,607.56 | |
United
| Professional | $453.29 | $741.21 | $971.22 |