| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,719.85 | $6,213.00 | $16,449.00 | |
Aetna
| Professional | $40.00 | $2,719.85 | $2,719.85 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Molina
| Professional | $45.00 | $45.00 | $2,736.31 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |