| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $515.16 | $515.16 | $515.16 | |
Cigna
| Facility | $902.06 | $902.06 | $902.06 | |
Cigna
| Professional | $127.42 | $902.06 | $1,878.75 | |
Molina
| Professional | $549.11 | $968.33 | $1,535.17 | |
United
| Facility | $73.03 | $730.35 | $1,261.51 | |
United
| Professional | $515.16 | $796.74 | $1,144.81 |