| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.77 | $301.83 | $301.83 | |
Cigna
| Facility | $515.28 | $515.28 | $515.28 | |
Cigna
| Professional | $437.99 | $463.75 | $515.28 | |
Providence
| Facility | $23.92 | $93.16 | $176.76 | |
Providence
| Professional | $209.79 | $515.28 | $616.25 | |
United
| Professional | $375.87 | $427.45 | $486.42 |