| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.73 | $325.25 | $406.89 | |
Cigna
| Facility | $439.04 | $439.04 | $439.04 | |
Cigna
| Professional | $373.18 | $439.04 | $439.04 | |
Providence
| Facility | $50.05 | $179.90 | $447.58 | |
Providence
| Professional | $85.14 | $439.04 | $619.95 | |
United
| Professional | $394.33 | $495.01 | $696.36 |