| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $2,238.72 | $2,238.72 | |
Aetna
| Professional | $467.74 | $549.54 | $812.83 | |
Cigna
| Facility | $436.52 | $436.52 | $436.52 | |
Molina
| Professional | $1,047.13 | $1,047.13 | $1,445.44 | |
Providence
| Facility | $457.09 | $851.14 | $1,995.26 | |
Providence
| Professional | $707.95 | $741.31 | $977.24 | |
United
| Facility | $602.56 | $602.56 | $602.56 | |
United
| Professional | $281.84 | $281.84 | $407.38 |