| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $341.60 | $341.60 | $341.60 | |
Cigna
| Facility | $766.64 | $766.64 | $766.64 | |
Cigna
| Professional | $85.66 | $651.64 | $1,537.50 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $79.56 | $503.55 | $688.23 |