| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $352.51 | $380.43 | $404.86 | |
Cigna
| Facility | $411.52 | $411.52 | $411.52 | |
Cigna
| Professional | $349.01 | $411.52 | $411.52 | |
Providence
| Facility | $349.02 | $411.52 | $501.05 | |
Providence
| Professional | $378.65 | $378.65 | $500.00 | |
United
| Professional | $349.02 | $349.02 | $349.02 |