| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.19 | $487.88 | $596.74 | |
Cigna
| Facility | $569.26 | $569.26 | $569.26 | |
Cigna
| Professional | $475.89 | $660.23 | $902.63 | |
Molina
| Professional | $32.34 | $32.34 | $769.96 | |
Providence
| Facility | $441.67 | $525.63 | $685.65 | |
Providence
| Professional | $492.16 | $740.79 | $1,333.37 | |
United
| Professional | $448.59 | $621.49 | $882.52 |