| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $1,350.00 | $10,066.00 | |
Cigna
| Facility | $1,200.00 | $1,675.00 | $3,000.00 | |
Molina
| Facility | $3,800.00 | $3,800.00 | $3,800.00 | |
United
| Facility | $400.00 | $758.00 | $2,702.00 |