| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.71 | $208.71 | $1,394.25 | |
Cigna
| Facility | $310.87 | $310.87 | $416.18 | |
Cigna
| Professional | $264.24 | $310.87 | $543.75 | |
Molina
| Professional | $207.71 | $301.52 | $436.48 | |
United
| Professional | $208.71 | $273.56 | $463.80 |