| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $593.54 | $593.54 | $868.61 | |
Aetna
| Professional | $579.07 | $615.26 | $868.61 | |
Cigna
| Facility | $615.26 | $615.26 | $615.26 | |
Cigna
| Professional | $615.26 | $615.26 | $615.26 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $687.65 | $723.84 | $940.99 |