| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.05 | $162.05 | $1,618.69 | |
Cigna
| Facility | $292.50 | $292.50 | $292.50 | |
Cigna
| Professional | $248.63 | $292.50 | $661.50 | |
Molina
| Professional | $267.91 | $388.90 | $561.75 | |
United
| Professional | $162.05 | $251.02 | $360.10 |