| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $559.47 | $603.79 | $642.55 | |
Cigna
| Facility | $282.99 | $282.99 | $282.99 | |
Cigna
| Professional | $268.95 | $282.99 | $553.94 | |
Providence
| Facility | $282.99 | $553.94 | $570.54 | |
Providence
| Professional | $282.99 | $600.97 | $705.48 | |
United
| Professional | $553.94 | $553.94 | $553.94 |