| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $862.50 | $862.50 | $862.50 | |
Cigna
| Facility | $27.06 | $27.06 | $27.06 | |
Cigna
| Professional | $21.48 | $26.85 | $27.06 | |
Providence
| Facility | $27.06 | $27.06 | $27.06 | |
Providence
| Professional | $18.66 | $22.39 | $27.06 | |
United
| Professional | $7.84 | $7.84 | $18.66 |