| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.49 | $45.49 | $45.49 | |
Aetna
| Professional | $35.97 | $52.09 | $230.00 | |
Cigna
| Professional | $53.25 | $83.18 | $105.27 | |
Molina
| Professional | $32.34 | $32.34 | $79.36 | |
Providence
| Professional | $63.77 | $83.18 | $105.27 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 | |
United
| Professional | $72.59 | $90.75 | $127.20 |