| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.50 | $209.50 | $1,400.01 | |
Cigna
| Facility | $299.44 | $299.44 | $400.87 | |
Cigna
| Professional | $254.52 | $299.44 | $526.88 | |
Molina
| Professional | $208.70 | $303.61 | $437.60 | |
United
| Professional | $235.28 | $235.28 | $317.95 |