| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.55 | $472.98 | $724.61 | |
Cigna
| Facility | $811.31 | $811.31 | $811.31 | |
Cigna
| Professional | $487.96 | $628.80 | $1,252.51 | |
Providence
| Facility | $485.48 | $612.88 | $1,026.89 | |
Providence
| Professional | $588.66 | $960.00 | $1,380.99 | |
United
| Professional | $608.40 | $766.08 | $905.84 |