| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.35 | $336.44 | $442.88 | |
Cigna
| Facility | 26 | $105.69 | $105.69 | $130.65 |
Cigna
| Professional | $374.94 | $440.43 | $820.82 | |
Providence
| Facility | 26 | $105.69 | $105.69 | $130.65 |
Providence
| Professional | $265.58 | $376.26 | $508.07 | |
United
| Professional | $253.39 | $283.02 | $523.52 |