| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $493.82 | $1,712.79 | $1,712.79 | |
Cigna
| Facility | $335.84 | $482.41 | $482.41 | |
Cigna
| Professional | $335.84 | $482.41 | $482.41 | |
Providence
| Facility | $248.23 | $459.44 | $482.41 | |
Providence
| Professional | $362.07 | $370.10 | $528.36 | |
United
| Professional | $200.75 | $222.12 | $342.28 |