| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $331.79 | $331.79 | $2,279.06 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $473.01 | $647.96 | $889.50 | |
Molina
| Professional | $358.79 | $520.83 | $752.31 | |
United
| Professional | $271.47 | $379.17 | $603.26 |