| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $740.76 | $740.76 | $740.76 | |
Aetna
| Professional | $145.28 | $145.28 | $145.28 | |
Cigna
| Facility | $125.91 | $125.91 | $125.91 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Providence
| Facility | $184.02 | $205.63 | $232.45 | |
Providence
| Professional | $168.62 | $193.71 | $193.71 | |
United
| Professional | $81.36 | $86.36 | $116.23 |