| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $511.88 | $2,941.64 | $2,941.64 | |
Cigna
| Facility | $941.18 | $941.18 | $941.18 | |
Cigna
| Professional | $611.16 | $941.18 | $941.18 | |
Providence
| Facility | $459.20 | $933.57 | $941.18 | |
Providence
| Professional | $570.01 | $839.24 | $1,233.40 | |
United
| Professional | $779.26 | $961.65 | $1,648.35 |