| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.44 | $421.00 | $559.99 | |
Cigna
| Facility | $97.54 | $178.44 | $178.44 | |
Cigna
| Professional | $97.54 | $145.10 | $178.44 | |
Providence
| Facility | $81.15 | $169.94 | $178.44 | |
Providence
| Professional | $97.54 | $133.91 | $178.56 | |
United
| Professional | $65.63 | $72.62 | $115.17 |