| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,380.38 | $7,762.47 | |
Aetna
| Professional | $660.69 | $851.14 | $1,819.70 | |
Cigna
| Professional | $812.83 | $1,096.48 | $1,412.54 | |
Molina
| Professional | $32.36 | $245.47 | $1,230.27 | |
Providence
| Facility | $676.08 | $1,023.29 | $1,348.96 | |
Providence
| Professional | $812.83 | $1,122.02 | $1,479.11 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 | |
United
| Professional | $870.96 | $1,202.26 | $1,513.56 |