| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.99 | $258.99 | $258.99 | |
Cigna
| Facility | $450.88 | $450.88 | $450.88 | |
Cigna
| Professional | $53.68 | $450.88 | $798.75 | |
Molina
| Professional | $233.05 | $410.98 | $651.55 | |
United
| Facility | $30.04 | $281.70 | $518.79 | |
United
| Professional | $211.90 | $327.66 | $470.89 |