| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $185.78 | $185.78 | $185.78 | |
Cigna
| Facility | $279.36 | $279.36 | $382.62 | |
Cigna
| Professional | $44.04 | $279.36 | $648.75 | |
Molina
| Professional | $190.23 | $334.69 | $530.60 | |
United
| Professional | $185.78 | $278.39 | $412.85 |