| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.73 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $86.12 | $107.74 | $477.13 | |
Cigna
| Professional | $78.87 | $124.56 | $157.44 | |
Molina
| Professional | $16.59 | $82.96 | $150.47 | |
Providence
| Facility | $72.15 | $123.82 | $142.96 | |
Providence
| Professional | $92.33 | $141.16 | $173.95 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 | |
United
| Professional | $104.15 | $138.66 | $199.15 |