| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $35.00 | $48.00 | $378.05 | |
Cigna
| Professional | $220.00 | $252.00 | $312.00 | |
Molina
| Professional | $73.72 | $280.00 | $1,500.00 | |
Providence
| Professional | $220.00 | $312.00 | $405.00 | |
United
| Professional | $45.00 | $59.00 | $84.00 |