| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.61 | $457.21 | $914.43 | |
Aetna
| Professional | $228.61 | $365.77 | $1,959.93 | |
Cigna
| Facility | $198.13 | $198.13 | $198.13 | |
Cigna
| Professional | $273.17 | $273.17 | $346.13 | |
Molina
| Professional | $472.46 | $496.84 | $496.84 | |
Providence
| Facility | $198.13 | $304.81 | $384.06 | |
Providence
| Professional | $321.57 | $368.82 | $423.69 | |
United
| Professional | $128.02 | $128.02 | $182.89 |