| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $513.41 | $513.41 | $513.41 | |
Cigna
| Facility | $642.26 | $642.26 | $642.26 | |
Cigna
| Professional | $118.88 | $642.26 | $1,755.00 | |
Molina
| Professional | $512.37 | $903.54 | $1,432.45 | |
United
| Professional | $513.41 | $756.24 | $1,140.93 |