| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.35 | $171.35 | $1,805.96 | |
Cigna
| Facility | $353.90 | $353.90 | $353.90 | |
Cigna
| Professional | $300.82 | $353.90 | $907.03 | |
Molina
| Professional | $283.30 | $411.24 | $596.21 | |
United
| Professional | $171.35 | $259.88 | $380.78 |