| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $401.81 | $636.63 | $2,333.63 | |
Cigna
| Facility | $724.55 | $724.55 | $724.55 | |
Cigna
| Professional | $366.89 | $724.01 | $724.55 | |
Providence
| Facility | $360.22 | $482.84 | $724.55 | |
Providence
| Professional | $432.52 | $720.91 | $935.90 | |
United
| Professional | $597.37 | $711.76 | $829.62 |