| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $292.45 | $292.45 | $388.04 | |
Cigna
| Facility | 26 | $115.15 | $115.15 | $142.35 |
Cigna
| Professional | $358.08 | $429.54 | $682.57 | |
Providence
| Facility | 26 | $115.15 | $115.15 | $142.35 |
Providence
| Professional | $357.77 | $481.65 | $682.57 | |
United
| Professional | $445.31 | $458.61 | $643.94 |