| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $341.03 | $409.60 | $536.38 | |
Cigna
| Facility | 26 | $75.72 | $75.72 | $93.60 |
Cigna
| Professional | $493.72 | $644.11 | $1,071.89 | |
Providence
| Facility | 26 | $75.72 | $75.72 | $93.60 |
Providence
| Professional | $402.11 | $670.23 | $1,039.11 | |
United
| Professional | $377.62 | $432.52 | $780.20 |