| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $2,630.27 | $2,630.27 | |
Aetna
| Professional | $524.81 | $645.65 | $954.99 | |
Cigna
| Professional | $912.01 | $912.01 | $1,148.15 | |
Providence
| Facility | $588.84 | $870.96 | $954.99 | |
Providence
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Professional | $331.13 | $331.13 | $478.63 |