| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.59 | $323.59 | $389.05 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
Providence
| Facility | $331.13 | $371.54 | $645.65 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |