| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.49 | $409.49 | $599.26 | |
Aetna
| Professional | $399.50 | $424.47 | $599.26 | |
Cigna
| Facility | $424.47 | $424.47 | $424.47 | |
Cigna
| Professional | $424.47 | $424.47 | $424.47 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $474.45 | $499.42 | $649.25 |