| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $35.00 | $50.00 | $302.44 | |
Cigna
| Professional | $165.00 | $189.00 | $234.00 | |
Molina
| Professional | $55.29 | $210.00 | $1,500.00 | |
Providence
| Professional | $165.00 | $234.00 | $324.00 | |
United
| Professional | $47.00 | $60.00 | $90.00 |