| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $1,479.11 | $1,479.11 | |
Aetna
| Professional | $316.23 | $363.08 | $537.03 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Molina
| Professional | $691.83 | $691.83 | $977.24 | |
Providence
| Facility | $302.00 | $562.34 | $1,318.26 | |
Providence
| Professional | $478.63 | $501.19 | $645.65 | |
United
| Facility | $407.38 | $407.38 | $407.38 | |
United
| Professional | $190.55 | $190.55 | $269.15 |