| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $232.78 | $232.78 | $1,704.98 | |
Cigna
| Facility | $376.09 | $376.09 | $376.09 | |
Cigna
| Professional | $319.68 | $376.09 | $661.50 | |
Molina
| Professional | $262.48 | $381.02 | $551.56 | |
United
| Professional | $232.78 | $286.08 | $517.29 |