| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.30 | $181.30 | $1,583.95 | |
Cigna
| Facility | $353.55 | $353.55 | $464.03 | |
Cigna
| Professional | $300.52 | $353.55 | $645.00 | |
Molina
| Professional | $263.99 | $383.22 | $554.73 | |
United
| Professional | $181.30 | $255.25 | $402.88 |