| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $310.41 | $310.41 | $310.41 | |
Cigna
| Facility | $428.20 | $428.20 | $428.20 | |
Cigna
| Professional | $77.83 | $428.20 | $1,117.50 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $291.79 | $477.25 | $625.39 |