| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $847.52 | $847.52 | $847.52 | |
Cigna
| Facility | $1,406.76 | $1,406.76 | $1,406.76 | |
Cigna
| Professional | $218.80 | $1,406.76 | $3,588.75 | |
Molina
| Professional | $1,050.87 | $1,853.15 | $2,937.92 | |
United
| Professional | $847.52 | $1,302.91 | $2,060.05 |