| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.61 | $165.16 | $193.31 | |
Cigna
| Facility | $191.97 | $251.33 | $362.62 | |
Cigna
| Professional | $171.01 | $251.33 | $377.35 | |
Providence
| Facility | $157.41 | $236.65 | $377.46 | |
Providence
| Professional | $168.46 | $260.43 | $2,400,000.00 | |
United
| Professional | $162.16 | $176.91 | $310.69 |