| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.89 | $410.19 | $479.54 | |
Cigna
| Facility | 26 | $362.28 | $362.28 | $430.63 |
Cigna
| Professional | $284.36 | $399.34 | $644.66 | |
Providence
| Facility | 26 | $362.28 | $362.28 | $430.63 |
Providence
| Professional | $280.42 | $435.36 | $687.24 | |
United
| Professional | $385.87 | $474.36 | $554.76 |