| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.22 | $906.22 | $906.22 | |
Cigna
| Facility | $1,350.00 | $1,350.00 | $1,377.00 | |
Cigna
| Professional | $209.56 | $1,350.00 | $3,090.00 | |
Molina
| Professional | $905.14 | $1,592.75 | $1,946.54 | |
United
| Professional | $1,107.59 | $1,333.56 | $2,013.82 |