| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $482.71 | $531.67 | $639.07 | |
Cigna
| Facility | $624.92 | $624.92 | $624.92 | |
Cigna
| Professional | $538.04 | $716.98 | $955.97 | |
Molina
| Professional | $60.00 | $374.02 | $471.09 | |
Providence
| Facility | $452.05 | $591.78 | $730.75 | |
Providence
| Professional | $538.04 | $716.98 | $955.97 | |
United
| Professional | $404.55 | $603.05 | $796.67 |