| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $414.08 | $693.72 | $1,073.54 | |
Cigna
| Facility | $394.97 | $394.97 | $1,234.33 | |
Cigna
| Professional | $288.33 | $394.97 | $1,311.75 | |
Hally Health
| Professional | $100.00 | $119.11 | $147.69 | |
Molina
| Professional | $928.25 | $928.25 | $928.25 | |
United
| Professional | $456.70 | $608.94 | $1,032.41 |