| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.11 | $98.31 | $20,059.38 | |
Cigna
| Facility | $269.89 | $269.89 | $269.89 | |
Cigna
| Professional | $229.41 | $269.89 | $277.99 | |
Providence
| Facility | $269.89 | $269.89 | $269.89 | |
Providence
| Professional | $229.41 | $269.89 | $277.99 |