| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $817.94 | $817.94 | $817.94 | |
Cigna
| Facility | $1,219.64 | $1,219.64 | $1,219.64 | |
Cigna
| Professional | $211.18 | $1,219.64 | $3,465.00 | |
Molina
| Professional | $1,014.30 | $1,788.67 | $2,189.38 | |
United
| Professional | $224.10 | $1,240.54 | $1,817.65 |