| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $921.65 | $6,748.59 | $6,748.59 | |
Cigna
| Facility | $1,304.10 | $2,526.02 | $2,526.02 | |
Cigna
| Professional | $1,304.10 | $2,054.17 | $2,526.02 | |
Providence
| Facility | $1,116.22 | $2,405.73 | $2,526.02 | |
Providence
| Professional | $1,304.10 | $1,895.89 | $2,527.85 | |
United
| Professional | $902.75 | $998.83 | $1,528.47 |