| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $271.33 | $290.72 | $290.72 | |
Cigna
| Facility | $397.50 | $397.50 | $397.50 | |
Cigna
| Professional | $337.88 | $357.75 | $397.50 | |
Providence
| Facility | $160.41 | $160.41 | $397.50 | |
Providence
| Professional | $337.88 | $397.50 | $559.29 | |
United
| Professional | $355.32 | $438.48 | $498.96 |