| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $349.67 | $417.22 | $544.96 | |
Cigna
| Facility | 26 | $173.51 | $173.51 | $206.25 |
Cigna
| Professional | $305.02 | $558.87 | $1,668.94 | |
Providence
| Facility | 26 | $173.51 | $173.51 | $206.25 |
Providence
| Professional | $381.29 | $620.97 | $955.76 | |
United
| Professional | $419.34 | $643.67 | $796.14 |