| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.00 | $712.00 | $11,204.00 | |
Cigna
| Facility | $2,487.00 | $35,015.00 | $36,580.00 | |
Molina
| Facility | $3,900.00 | $3,900.00 | $3,900.00 | |
United
| Facility | $708.00 | $1,200.00 | $1,803.00 |