| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $575.44 | $7,762.47 | |
Aetna
| Professional | $165.96 | $371.54 | $870.96 | |
Cigna
| Professional | $218.78 | $338.84 | $660.69 | |
Molina
| Professional | $32.36 | $33.11 | $524.81 | |
Providence
| Facility | $199.53 | $436.52 | $776.25 | |
Providence
| Professional | $218.78 | $338.84 | $660.69 | |
United
| Facility | $416.87 | $2,511.89 | $3,019.95 | |
United
| Professional | $208.93 | $398.11 | $794.33 |