| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $453.00 | $1,895.00 | |
Cigna
| Facility | $567.00 | $1,400.00 | $3,000.00 | |
Molina
| Facility | $1,190.00 | $1,190.00 | $1,190.00 | |
United
| Facility | $400.00 | $716.00 | $1,284.00 |