| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.12 | $172.19 | $889.68 | |
Cigna
| Facility | $272.36 | $272.36 | $272.36 | |
Cigna
| Professional | $272.36 | $291.33 | $350.66 | |
Providence
| Facility | $146.44 | $184.78 | $546.65 | |
Providence
| Professional | $165.63 | $272.36 | $334.11 | |
United
| Professional | $274.33 | $299.73 | $513.00 |