| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.21 | $413.57 | $1,530.10 | |
Cigna
| Facility | $286.04 | $286.04 | $286.04 | |
Cigna
| Professional | $154.41 | $275.68 | $479.53 | |
Providence
| Facility | $142.56 | $240.89 | $331.22 | |
Providence
| Professional | $219.74 | $363.86 | $565.13 | |
United
| Professional | $350.32 | $456.41 | $526.08 |