| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.85 | $368.85 | $368.85 | |
Aetna
| Professional | $301.19 | $503.51 | $1,446.89 | |
Cigna
| Facility | $344.22 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $344.22 | |
Molina
| Professional | $534.91 | $668.64 | $1,002.96 | |
Providence
| Facility | $161.51 | $161.51 | $502.49 | |
Providence
| Professional | $251.28 | $344.22 | $723.05 | |
United
| Professional | $231.31 | $250.18 | $376.87 |