| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.63 | $346.63 | $346.63 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $359.59 | $847.50 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $401.79 | $530.74 | $861.15 |