| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.97 | $204.25 | $204.25 | |
Cigna
| Facility | $299.18 | $299.18 | $299.18 | |
Cigna
| Professional | $254.30 | $269.26 | $299.18 | |
Providence
| Facility | $76.01 | $112.88 | $183.16 | |
Providence
| Professional | $87.80 | $199.81 | $334.52 | |
United
| Professional | $244.80 | $296.88 | $333.34 |