| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.00 | $398.00 | $398.00 | |
Cigna
| Facility | $548.23 | $548.23 | $548.23 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 | |
Molina
| Professional | $50.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $548.23 | $548.23 | $548.23 |