| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.97 | $511.97 | $585.10 | |
Aetna
| Professional | $487.59 | $511.97 | $585.10 | |
Cigna
| Facility | $487.59 | $487.59 | $487.59 | |
Cigna
| Professional | $487.59 | $487.59 | $487.59 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $463.21 | $487.59 | $633.87 |