| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.16 | $535.16 | $535.16 | |
Aetna
| Professional | $461.36 | $507.49 | $576.69 | |
Cigna
| Facility | $461.36 | $688.14 | $791.36 | |
Cigna
| Professional | $461.36 | $461.36 | $461.36 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $461.36 | $461.36 | $461.36 |