| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.09 | $239.09 | $239.09 | |
Cigna
| Facility | $232.12 | $232.12 | $232.12 | |
Cigna
| Professional | $59.95 | $232.12 | $911.25 | |
Molina
| Professional | $252.52 | $445.31 | $705.99 | |
United
| Professional | $224.77 | $367.46 | $481.42 |