| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $369.25 | $413.20 | $549.83 | |
Cigna
| Facility | 26 | $111.47 | $111.47 | $137.80 |
Cigna
| Professional | $263.30 | $500.77 | $869.57 | |
Providence
| Facility | 26 | $111.47 | $111.47 | $137.80 |
Providence
| Professional | $488.16 | $657.66 | $974.16 | |
United
| Professional | $480.73 | $594.13 | $834.71 |