| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,014.55 | $2,029.11 | $2,029.11 | |
Aetna
| Professional | $821.00 | $821.00 | $821.00 | |
Cigna
| Facility | $439.64 | $439.64 | $439.64 | |
Molina
| Professional | $1,048.36 | $1,102.48 | $1,102.48 | |
Providence
| Facility | $439.64 | $676.37 | $852.23 | |
Providence
| Professional | $713.57 | $811.64 | $940.15 | |
United
| Professional | $284.08 | $284.08 | $405.82 |