| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.02 | $364.30 | $1,761.20 | |
Cigna
| Facility | 26 | $184.56 | $184.56 | $228.15 |
Cigna
| Professional | $481.00 | $755.05 | $1,205.68 | |
Providence
| Facility | 26 | $184.56 | $184.56 | $228.15 |
Providence
| Professional | $483.96 | $806.64 | $1,231.85 | |
United
| Professional | $397.10 | $463.51 | $957.66 |