| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $312.02 | $312.02 | $312.02 | |
Cigna
| Facility | $134.00 | $134.00 | $134.00 | |
Cigna
| Professional | $78.23 | $134.00 | $1,241.25 | |
Molina
| Professional | $386.88 | $682.24 | $835.10 | |
United
| Professional | $85.48 | $479.63 | $628.44 |