| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $879.08 | $879.08 | $3,221.72 | |
Cigna
| Facility | $670.25 | $670.25 | $897.30 | |
Cigna
| Professional | $569.71 | $670.25 | $1,149.75 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $494.48 | $604.37 | $1,098.84 |