| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $607.83 | $607.83 | $607.83 | |
Cigna
| Facility | $504.00 | $504.00 | $504.00 | |
Cigna
| Professional | $141.11 | $504.00 | $2,081.25 | |
Molina
| Professional | $608.15 | $1,072.43 | $1,700.20 | |
United
| Professional | $853.36 | $1,042.99 | $1,896.35 |