| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $497.69 | $497.69 | $3,455.08 | |
Cigna
| Facility | $542.66 | $542.66 | $542.66 | |
Cigna
| Professional | $396.14 | $542.66 | $1,327.88 | |
Molina
| Professional | $561.24 | $814.70 | $1,176.79 | |
United
| Professional | $407.20 | $561.16 | $904.89 |