| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $599.00 | $8,208.00 | |
Cigna
| Facility | $950.00 | $1,568.00 | $3,000.00 | |
Molina
| Facility | $2,890.00 | $2,890.00 | $2,890.00 | |
United
| Facility | $415.00 | $758.00 | $1,561.00 |