| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $319.39 | $319.39 | $319.39 | |
Cigna
| Facility | $443.25 | $443.25 | $443.25 | |
Cigna
| Professional | $184.07 | $376.76 | $443.25 | |
Providence
| Facility | $256.52 | $313.43 | $463.37 | |
Providence
| Professional | $218.12 | $341.06 | $559.63 | |
United
| Professional | $261.05 | $557.96 | $618.33 |