| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.68 | $322.30 | $1,926.92 | |
Cigna
| Facility | $347.03 | $347.03 | $347.03 | |
Cigna
| Professional | $244.87 | $347.03 | $384.12 | |
Providence
| Facility | $170.23 | $373.10 | $398.48 | |
Providence
| Professional | $209.30 | $313.99 | $452.90 | |
United
| Professional | $298.45 | $374.65 | $604.94 |