| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.19 | $370.38 | $740.76 | |
Aetna
| Professional | $185.19 | $296.30 | $296.30 | |
Cigna
| Facility | $160.50 | $160.50 | $160.50 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Providence
| Facility | $234.57 | $246.92 | $296.30 | |
Providence
| Professional | $202.47 | $246.92 | $246.92 | |
United
| Professional | $103.71 | $103.71 | $148.15 |