| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.83 | $545.37 | $2,634.18 | |
Cigna
| Facility | $369.39 | $369.39 | $369.39 | |
Cigna
| Professional | $369.39 | $369.39 | $711.17 | |
Molina
| Professional | $87.97 | $131.95 | $1,037.85 | |
Providence
| Facility | $369.39 | $640.58 | $686.53 | |
Providence
| Professional | $369.39 | $369.39 | $711.17 | |
United
| Professional | $409.01 | $435.42 | $681.69 |