| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.53 | $223.25 | $273.70 | |
Cigna
| Facility | $315.48 | $315.48 | $375.00 | |
Cigna
| Professional | $315.48 | $315.48 | $474.00 | |
Providence
| Facility | $222.30 | $315.48 | $442.14 | |
Providence
| Professional | $315.48 | $315.48 | $474.00 | |
United
| Professional | $319.75 | $319.75 | $660.64 |