| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.61 | $339.88 | $499.46 | |
Cigna
| Facility | $508.97 | $508.97 | $605.00 | |
Cigna
| Professional | $458.07 | $508.97 | $764.72 | |
Providence
| Facility | $190.61 | $499.46 | $605.00 | |
Providence
| Professional | $508.97 | $508.97 | $764.72 | |
United
| Professional | $294.60 | $303.39 | $613.52 |