| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $599.00 | $8,208.00 | |
Cigna
| Facility | $1,061.00 | $1,600.00 | $3,000.00 | |
Molina
| Facility | $3,350.00 | $3,350.00 | $3,350.00 | |
United
| Facility | $415.00 | $725.00 | $1,837.00 |