| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $595.00 | $1,545.00 | $3,132.00 | |
Cigna
| Facility | $1,100.00 | $1,260.00 | $3,090.00 | |
Molina
| Facility | $1,900.00 | $1,900.00 | $1,900.00 | |
United
| Facility | $582.00 | $1,026.00 | $1,483.00 |