| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.31 | $477.13 | $517.82 | |
Cigna
| Facility | $139.34 | $139.34 | $139.34 | |
Cigna
| Professional | $113.02 | $139.68 | $154.76 | |
Providence
| Facility | $79.02 | $104.17 | $178.20 | |
Providence
| Professional | $92.53 | $139.68 | $183.54 | |
United
| Professional | $147.91 | $165.89 | $181.27 |