| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.31 | $369.56 | $604.17 | |
Cigna
| Facility | $618.87 | $618.87 | $618.87 | |
Cigna
| Professional | $618.87 | $618.87 | $618.87 | |
Providence
| Facility | $236.59 | $364.61 | $664.60 | |
Providence
| Professional | $618.87 | $618.87 | $824.88 | |
United
| Professional | $548.51 | $657.85 | $836.07 |