| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.38 | $923.19 | $923.19 | |
Cigna
| Facility | $260.80 | $260.80 | $260.80 | |
Cigna
| Professional | $206.69 | $260.80 | $296.82 | |
Providence
| Facility | $128.71 | $313.95 | $325.74 | |
Providence
| Professional | $165.63 | $248.47 | $358.40 | |
United
| Professional | $246.34 | $302.39 | $456.94 |