| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,308.95 | $1,308.95 | $1,308.95 | |
Cigna
| Facility | $2,399.94 | $2,399.94 | $2,399.94 | |
Cigna
| Professional | $326.16 | $2,399.94 | $4,777.50 | |
Molina
| Professional | $1,398.88 | $2,466.85 | $3,910.86 | |
United
| Professional | $1,308.95 | $2,035.62 | $2,908.78 |