| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.79 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $231.85 | $253.74 | $1,632.38 | |
Cigna
| Facility | $297.22 | $297.22 | $297.22 | |
Cigna
| Professional | $260.83 | $366.85 | $498.44 | |
Molina
| Professional | $57.77 | $288.85 | $423.57 | |
Providence
| Facility | $225.81 | $266.58 | $388.83 | |
Providence
| Professional | $271.60 | $366.85 | $457.51 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 | |
United
| Professional | $240.80 | $322.49 | $512.20 |