| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $660.69 | |
Aetna
| Professional | $549.54 | $549.54 | $660.69 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $125.89 | $2,344.23 | $2,818.38 |