| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $379.59 | $508.50 | $2,279.06 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $605.17 | $647.96 | $647.96 | |
Molina
| Professional | $79.34 | $119.01 | $936.00 | |
Providence
| Facility | $553.91 | $553.91 | $647.96 | |
Providence
| Professional | $605.17 | $647.96 | $647.96 | |
United
| Professional | $331.79 | $379.17 | $603.26 |