| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $2,089.30 | $14,791.08 | |
Aetna
| Professional | $426.58 | $512.86 | $2,137.96 | |
Cigna
| Professional | $478.63 | $630.96 | $794.33 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Facility | $602.56 | $707.95 | $1,621.81 | |
Providence
| Professional | $478.63 | $630.96 | $794.33 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 | |
United
| Professional | $501.19 | $660.69 | $891.25 |