| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.77 | $236.77 | $236.77 | |
Cigna
| Facility | $472.17 | $472.17 | $561.25 | |
Cigna
| Professional | $472.17 | $472.17 | $472.17 | |
Providence
| Facility | $472.17 | $472.17 | $561.25 | |
Providence
| Professional | $426.96 | $472.17 | $502.32 | |
United
| Professional | $206.95 | $213.13 | $430.98 |