| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $540.00 | $544.14 | |
Aetna
| Professional | $50.50 | $72.50 | $738.00 | |
Cigna
| Professional | $200.00 | $250.00 | $265.00 | |
Providence
| Professional | $235.00 | $302.50 | $412.60 | |
United
| Professional | $267.20 | $267.20 | $267.20 |