| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.22 | $484.44 | $968.88 | |
Aetna
| Professional | $242.22 | $387.55 | $387.55 | |
Cigna
| Facility | $209.92 | $209.92 | $209.92 | |
Cigna
| Professional | $370.87 | $370.87 | $463.59 | |
Providence
| Facility | $306.81 | $355.26 | $387.55 | |
Providence
| Professional | $294.26 | $322.95 | $322.95 | |
United
| Professional | $135.63 | $150.72 | $216.38 |