| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.62 | $205.62 | $2,167.12 | |
Cigna
| Facility | $461.38 | $461.38 | $461.38 | |
Cigna
| Professional | $392.17 | $461.38 | $1,088.44 | |
Molina
| Professional | $339.95 | $493.48 | $715.45 | |
United
| Professional | $205.62 | $318.51 | $456.94 |