| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $474.33 | $474.33 | $474.33 | |
Cigna
| Facility | $360.90 | $360.90 | $360.90 | |
Cigna
| Professional | $306.77 | $360.90 | $1,233.75 | |
Molina
| Professional | $60.00 | $931.33 | $1,614.31 | |
United
| Professional | $549.82 | $726.27 | $1,178.41 |