| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.59 | $216.58 | $216.58 | |
Cigna
| Facility | $331.78 | $331.78 | $331.78 | |
Cigna
| Professional | $282.01 | $298.60 | $331.78 | |
Providence
| Facility | $89.98 | $127.10 | $205.57 | |
Providence
| Professional | $103.58 | $224.26 | $376.65 | |
United
| Professional | $273.39 | $325.75 | $368.67 |