| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.34 | $333.91 | $1,933.63 | |
Cigna
| Facility | 26 | $93.59 | $93.59 | $111.25 |
Cigna
| Professional | $71.14 | $243.28 | $428.53 | |
Providence
| Facility | 26 | $93.59 | $93.59 | $111.25 |
Providence
| Professional | $243.28 | $353.40 | $522.53 | |
United
| Professional | $157.90 | $168.90 | $281.50 |