| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.05 | $208.05 | $1,561.60 | |
Cigna
| Facility | $358.71 | $358.71 | $358.71 | |
Cigna
| Professional | $304.89 | $358.71 | $612.38 | |
Molina
| Professional | $243.62 | $353.65 | $510.83 | |
United
| Facility | $26.92 | $247.52 | $427.53 | |
United
| Professional | $208.05 | $270.02 | $462.34 |