| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $307.08 | $307.08 | $307.08 | |
Cigna
| Facility | $459.79 | $459.79 | $459.79 | |
Cigna
| Professional | $50.73 | $459.79 | $720.00 | |
Molina
| Professional | $213.04 | $375.69 | $594.30 | |
United
| Professional | $294.06 | $375.33 | $682.41 |