| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.67 | $373.67 | $427.05 | |
Aetna
| Professional | $355.88 | $373.67 | $427.05 | |
Cigna
| Facility | $408.00 | $408.00 | $408.00 | |
Cigna
| Professional | $408.00 | $408.00 | $408.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $456.00 | $480.00 | $624.00 |