| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.13 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $74.33 | $83.95 | $124.11 | |
Cigna
| Facility | $93.41 | $93.41 | $93.41 | |
Cigna
| Professional | $90.26 | $122.97 | $153.02 | |
Molina
| Professional | $32.34 | $32.34 | $130.47 | |
Providence
| Facility | $77.14 | $93.41 | $124.11 | |
Providence
| Professional | $94.28 | $132.16 | $216.27 | |
United
| Facility | $755.00 | $4,616.00 | $17,636.00 | |
United
| Professional | $86.98 | $126.00 | $188.80 |