| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.06 | $586.13 | $1,172.25 | |
Aetna
| Professional | $293.06 | $468.90 | $468.90 | |
Cigna
| Facility | $253.99 | $253.99 | $253.99 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Providence
| Facility | $253.99 | $371.21 | $468.90 | |
Providence
| Professional | $320.41 | $390.75 | $390.75 | |
United
| Professional | $164.12 | $164.12 | $234.45 |