| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $119.10 | $132.66 | $195.89 | |
Cigna
| Facility | $147.79 | $147.79 | $147.79 | |
Cigna
| Professional | $142.90 | $196.79 | $244.37 | |
Molina
| Professional | $32.34 | $32.34 | $206.26 | |
Providence
| Facility | $122.11 | $147.79 | $195.89 | |
Providence
| Professional | $150.87 | $209.91 | $343.54 | |
United
| Facility | $200.00 | $1,158.00 | $1,327.00 | |
United
| Professional | $137.16 | $199.15 | $275.00 |