| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $520.91 | $526.22 | $575.38 | |
Cigna
| Professional | $282.08 | $282.08 | $282.08 | |
Providence
| Facility | $374.14 | $471.49 | $658.74 | |
Providence
| Professional | $282.08 | $558.65 | $10,000.00 | |
United
| Professional | $264.98 | $293.18 | $420.61 |