| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $219.85 | $219.85 | $1,578.16 | |
Cigna
| Facility | $354.55 | $354.55 | $465.35 | |
Cigna
| Professional | $301.37 | $354.55 | $617.63 | |
Molina
| Professional | $237.39 | $345.35 | $497.77 | |
United
| Professional | $219.85 | $272.36 | $488.55 |