| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.14 | $413.68 | $1,525.57 | |
Cigna
| Facility | $274.99 | $274.99 | $274.99 | |
Cigna
| Professional | $146.18 | $235.71 | $480.06 | |
Providence
| Facility | $137.66 | $226.79 | $332.66 | |
Providence
| Professional | $189.78 | $352.80 | $556.49 | |
United
| Professional | $339.89 | $441.18 | $517.80 |