| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $418.95 | $418.95 | $418.95 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $105.06 | $469.00 | $1,706.25 | |
Molina
| Professional | $463.46 | $817.29 | $1,295.71 | |
United
| Professional | $514.84 | $644.20 | $844.01 |