| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.31 | $477.13 | $511.99 | |
Cigna
| Facility | $139.34 | $139.34 | $139.34 | |
Cigna
| Professional | $106.61 | $147.83 | $158.30 | |
Providence
| Facility | $79.02 | $103.32 | $185.63 | |
Providence
| Professional | $91.87 | $142.35 | $183.04 | |
United
| Professional | $136.65 | $164.13 | $179.36 |