| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.14 | $283.14 | $283.14 | |
Cigna
| Facility | $422.72 | $422.72 | $422.72 | |
Cigna
| Professional | $72.20 | $359.31 | $1,326.56 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $266.04 | $435.24 | $570.16 |