| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $304.01 | $364.18 | $483.12 | |
Cigna
| Facility | 26 | $70.45 | $70.45 | $87.10 |
Cigna
| Professional | $416.32 | $566.29 | $903.08 | |
Providence
| Facility | 26 | $70.45 | $70.45 | $87.10 |
Providence
| Professional | $358.44 | $597.42 | $914.26 | |
United
| Professional | $345.41 | $364.51 | $713.66 |