| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $576.67 | $576.67 | $576.67 | |
Cigna
| Facility | $396.70 | $396.70 | $396.70 | |
Cigna
| Professional | $148.88 | $396.70 | $2,077.50 | |
Molina
| Professional | $715.10 | $1,261.05 | $1,999.23 | |
United
| Professional | $541.97 | $886.51 | $1,161.65 |