| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.15 | $244.26 | $1,632.38 | |
Cigna
| Facility | $395.40 | $395.40 | $395.40 | |
Cigna
| Professional | $260.83 | $395.40 | $1,004.24 | |
Providence
| Facility | $180.60 | $305.75 | $509.20 | |
Providence
| Professional | $228.71 | $343.11 | $494.90 | |
United
| Professional | $307.10 | $367.30 | $499.79 |