| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.58 | $1,798.19 | $1,798.19 | |
Cigna
| Facility | $380.61 | $619.03 | $619.03 | |
Cigna
| Professional | $380.61 | $619.03 | $619.03 | |
Providence
| Facility | $299.25 | $589.54 | $619.03 | |
Providence
| Professional | $464.61 | $474.91 | $645.29 | |
United
| Professional | $242.02 | $267.77 | $409.78 |