| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,663.50 | $1,663.50 | $1,663.50 | |
Cigna
| Professional | $3,915.00 | $3,915.00 | $4,893.75 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $1,330.80 | $1,330.80 | $4,425.89 |