| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Molina
| Professional | $44.67 | $44.67 | $1,995.26 | |
United
| Professional | $891.25 | $891.25 | $891.25 |