| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $268.89 | $268.89 | $268.89 | |
Cigna
| Facility | $458.33 | $458.33 | $458.33 | |
Cigna
| Professional | $75.66 | $458.33 | $1,117.50 | |
Molina
| Professional | $326.07 | $575.00 | $911.59 | |
United
| Professional | $470.76 | $470.76 | $736.44 |