| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $311.13 | $311.13 | $2,607.94 | |
Cigna
| Facility | $581.42 | $581.42 | $763.12 | |
Cigna
| Professional | $494.22 | $581.42 | $1,038.38 | |
Molina
| Professional | $396.39 | $575.40 | $832.94 | |
United
| Professional | $311.13 | $449.15 | $691.39 |