| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $626.80 | $626.80 | $626.80 | |
Cigna
| Facility | $173.31 | $1,082.51 | $1,082.51 | |
Cigna
| Professional | $161.82 | $1,082.51 | $2,655.00 | |
Molina
| Professional | $777.26 | $1,370.66 | $2,173.00 | |
United
| Professional | $766.11 | $963.59 | $1,392.92 |