| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,377.93 | $5,848.04 | $8,424.20 | |
Aetna
| Professional | $318.22 | $318.22 | $6,277.99 | |
Cigna
| Professional | $673.84 | $673.84 | $673.84 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |