| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.22 | $343.69 | $2,165.01 | |
Cigna
| Facility | $248.70 | $248.70 | $248.70 | |
Cigna
| Professional | $170.01 | $409.61 | $840.93 | |
Providence
| Facility | $160.84 | $398.91 | $703.97 | |
Providence
| Professional | $223.83 | $454.25 | $1,067.00 | |
United
| Professional | $537.20 | $674.36 | $1,170.10 |