| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $2,436.38 | |
Cigna
| Professional | $198.37 | $198.37 | $3,550.00 | |
Health Alliance Plan
| Professional | $1,448.30 | $1,448.30 | $2,010.49 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |