| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.76 | $1,038.83 | $1,038.83 | |
Cigna
| Facility | $365.96 | $365.96 | $365.96 | |
Providence
| Facility | $365.96 | $365.96 | $365.96 | |
Providence
| Professional | $186.98 | $264.89 | $506.02 | |
United
| Professional | $271.66 | $341.02 | $375.93 |