| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $632.29 | $632.29 | $632.29 | |
Cigna
| Facility | $171.39 | $1,071.00 | $1,071.00 | |
Cigna
| Professional | $163.22 | $1,071.00 | $2,677.50 | |
Molina
| Professional | $783.98 | $1,382.51 | $2,191.78 | |
United
| Professional | $632.29 | $972.04 | $1,405.09 |