| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $381.86 | $478.47 | $6,249.99 | |
Cigna
| Facility | $793.43 | $793.43 | $793.43 | |
Cigna
| Professional | $497.28 | $793.43 | $2,172.48 | |
Providence
| Facility | $345.82 | $595.44 | $974.85 | |
Providence
| Professional | $497.28 | $770.52 | $1,056.43 | |
United
| Professional | $676.39 | $773.02 | $966.28 |