| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $999.23 | $999.23 | $999.23 | |
Cigna
| Facility | $1,850.09 | $1,850.09 | $1,850.09 | |
Cigna
| Professional | $249.23 | $1,572.58 | $4,560.93 | |
Molina
| Professional | $1,067.87 | $1,883.13 | $2,985.46 | |
United
| Professional | $1,555.14 | $1,555.14 | $2,439.41 |