| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.01 | $281.01 | $281.01 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $686.25 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $392.43 | $430.26 | $680.30 |