| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.96 | $259.31 | $478.88 | |
Cigna
| Facility | $254.49 | $254.49 | $254.49 | |
Cigna
| Professional | $156.94 | $245.20 | $447.98 | |
Providence
| Facility | $127.07 | $227.45 | $330.27 | |
Providence
| Professional | $196.36 | $327.60 | $519.39 | |
United
| Professional | $327.70 | $427.27 | $488.31 |