| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $600.35 | $4,395.89 | $4,395.89 | |
Cigna
| Facility | $714.02 | $1,243.14 | $1,243.14 | |
Cigna
| Professional | $714.02 | $1,010.92 | $1,243.14 | |
Providence
| Facility | $637.07 | $1,183.94 | $1,243.14 | |
Providence
| Professional | $714.02 | $933.03 | $1,334.10 | |
United
| Professional | $515.24 | $570.07 | $872.37 |