| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $520.86 | $520.86 | $520.86 | |
Cigna
| Professional | $65.25 | $65.25 | $643.37 | |
Providence
| Facility | $57.47 | $88.78 | $88.78 | |
Providence
| Professional | $65.25 | $84.50 | $108.17 | |
United
| Professional | $354.13 | $388.47 | $388.47 |