| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $710.47 | $710.47 | $710.47 | |
Cigna
| Facility | $192.60 | $1,436.52 | $1,436.52 | |
Cigna
| Professional | $183.43 | $1,221.04 | $3,759.38 | |
Molina
| Professional | $884.26 | $1,559.34 | $1,901.64 | |
United
| Professional | $710.47 | $1,092.43 | $1,578.82 |