| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.85 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $462.87 | $510.85 | $6,249.99 | |
Cigna
| Facility | $564.91 | $564.91 | $564.91 | |
Cigna
| Professional | $505.03 | $736.06 | $944.33 | |
Molina
| Professional | $60.00 | $517.94 | $759.51 | |
Providence
| Facility | $435.67 | $512.55 | $1,164.90 | |
Providence
| Professional | $523.47 | $736.06 | $866.14 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 | |
United
| Professional | $510.75 | $704.00 | $1,007.69 |