| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,157.97 | $2,315.94 | $2,315.94 | |
Aetna
| Professional | $578.99 | $578.99 | $578.99 | |
Cigna
| Facility | $501.79 | $501.79 | $501.79 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
Providence
| Facility | $733.38 | $771.98 | $926.38 | |
Providence
| Professional | $633.02 | $771.98 | $771.98 | |
United
| Professional | $324.23 | $324.23 | $463.19 |