| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.41 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $79.93 | $404.10 | $648.60 | |
Cigna
| Professional | $102.49 | $169.12 | $659.17 | |
Molina
| Professional | $32.34 | $32.34 | $535.63 | |
Providence
| Professional | $102.49 | $169.12 | $659.17 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 | |
United
| Professional | $511.70 | $678.30 | $940.09 |