| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.26 | $375.26 | $375.26 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $94.09 | $305.64 | $1,687.50 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $461.15 | $576.86 | $756.03 |