| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $279.22 | $299.20 | $299.20 | |
Cigna
| Facility | $439.04 | $439.04 | $439.04 | |
Cigna
| Professional | $373.18 | $395.14 | $439.04 | |
Providence
| Facility | $177.19 | $177.19 | $439.04 | |
Providence
| Professional | $373.18 | $439.04 | $617.73 | |
United
| Professional | $397.29 | $467.40 | $602.61 |