| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $498.53 | $1,729.14 | $1,729.14 | |
Cigna
| Facility | $340.42 | $639.64 | $639.64 | |
Cigna
| Professional | $340.42 | $520.15 | $639.64 | |
Providence
| Facility | $279.89 | $609.17 | $639.64 | |
Providence
| Professional | $340.42 | $480.07 | $640.09 | |
United
| Professional | $226.37 | $250.45 | $385.95 |