| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $474.47 | $474.47 | $3,355.80 | |
Cigna
| Facility | $394.97 | $394.97 | $394.97 | |
Cigna
| Professional | $288.33 | $394.97 | $1,311.75 | |
Molina
| Professional | $494.23 | $717.44 | $1,036.30 | |
United
| Professional | $388.20 | $548.04 | $862.67 |