| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.07 | $688.07 | $786.36 | |
Aetna
| Professional | $655.29 | $688.07 | $786.36 | |
Cigna
| Facility | $655.29 | $655.29 | $655.29 | |
Cigna
| Professional | $655.29 | $655.29 | $655.29 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $622.54 | $655.29 | $851.89 |