| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $332.82 | $332.82 | $332.82 | |
Cigna
| Facility | $746.73 | $746.73 | $746.73 | |
Cigna
| Professional | $85.92 | $746.73 | $1,196.25 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $312.77 | $511.68 | $670.33 |