| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.15 | $231.28 | $397.80 | |
Cigna
| Facility | $405.39 | $405.39 | $405.39 | |
Cigna
| Professional | $405.39 | $405.39 | $405.39 | |
Providence
| Facility | $154.47 | $237.67 | $437.58 | |
Providence
| Professional | $405.39 | $405.39 | $540.79 | |
United
| Professional | $365.49 | $431.28 | $527.62 |