| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.88 | $770.11 | $818.56 | |
Cigna
| Facility | $235.03 | $235.03 | $235.03 | |
Cigna
| Professional | $191.96 | $250.81 | $271.79 | |
Providence
| Facility | $133.19 | $170.24 | $328.93 | |
Providence
| Professional | $153.99 | $241.56 | $305.67 | |
United
| Professional | $249.70 | $273.77 | $297.60 |