| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.68 | $877.35 | $1,754.70 | |
Aetna
| Professional | $438.68 | $701.88 | $3,760.91 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $524.02 | $871.35 | $1,198.33 | |
Molina
| Professional | $60.00 | $60.00 | $953.39 | |
Providence
| Facility | $380.19 | $722.10 | $909.85 | |
Providence
| Professional | $672.64 | $742.82 | $1,032.71 | |
United
| Professional | $245.66 | $303.27 | $350.94 |