| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.42 | $484.42 | $553.63 | |
Aetna
| Professional | $461.36 | $484.42 | $553.63 | |
Cigna
| Facility | $461.36 | $461.36 | $461.36 | |
Cigna
| Professional | $461.36 | $461.36 | $461.36 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $438.29 | $461.36 | $599.77 |