| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $274.17 | $274.17 | $2,889.57 | |
Cigna
| Facility | $615.17 | $615.17 | $615.17 | |
Cigna
| Professional | $522.90 | $615.17 | $1,161.00 | |
Molina
| Professional | $453.28 | $657.99 | $953.95 | |
United
| Professional | $274.17 | $424.69 | $609.26 |