| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $491.54 | $491.54 | $491.54 | |
Cigna
| Facility | $860.04 | $860.04 | $860.04 | |
Cigna
| Professional | $126.91 | $860.04 | $2,081.25 | |
Molina
| Professional | $518.12 | $913.67 | $1,448.51 | |
United
| Professional | $461.99 | $755.72 | $990.26 |