| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.72 | $290.72 | $325.19 | |
Cigna
| Facility | $441.67 | $441.67 | $441.67 | |
Cigna
| Professional | $375.42 | $397.50 | $441.67 | |
Providence
| Facility | $178.24 | $178.24 | $441.67 | |
Providence
| Professional | $375.42 | $441.67 | $738.32 | |
United
| Professional | $385.56 | $438.48 | $483.84 |