| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $539.46 | $539.46 | $539.46 | |
Cigna
| Facility | $799.37 | $799.37 | $799.37 | |
Cigna
| Professional | $133.31 | $799.37 | $1,965.00 | |
Molina
| Professional | $574.54 | $1,013.18 | $1,606.26 | |
United
| Professional | $833.76 | $1,104.51 | $2,008.20 |