| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.97 | $285.42 | $380.56 | |
Cigna
| Facility | $332.93 | $332.93 | $343.89 | |
Cigna
| Professional | $39.86 | $332.93 | $525.00 | |
Hally Health
| Professional | $52.33 | $100.00 | $200.00 | |
Molina
| Professional | $55.17 | $73.56 | $432.10 | |
United
| Professional | $195.76 | $283.18 | $435.54 |