| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $387.63 | $387.63 | $387.63 | |
Cigna
| Facility | $344.45 | $344.45 | $344.45 | |
Cigna
| Professional | $100.06 | $344.45 | $1,642.50 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $445.22 | $595.91 | $780.78 |