| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.73 | $206.46 | $906.40 | |
Cigna
| Facility | 26 | $86.23 | $86.23 | $106.60 |
Cigna
| Professional | $229.06 | $273.35 | $435.68 | |
Providence
| Facility | 26 | $86.23 | $86.23 | $106.60 |
Providence
| Professional | $235.83 | $313.50 | $457.56 | |
United
| Professional | $284.20 | $305.86 | $688.20 |