| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $394.07 | $394.07 | $394.07 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $98.81 | $200.00 | $1,590.00 | |
Molina
| Professional | $488.65 | $861.71 | $1,366.13 | |
United
| Professional | $452.72 | $605.87 | $793.73 |