| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.31 | $157.63 | $244.43 | |
Cigna
| Facility | $246.07 | $246.07 | $246.07 | |
Cigna
| Professional | $178.26 | $246.07 | $264.23 | |
Providence
| Facility | $121.66 | $273.64 | $293.48 | |
Providence
| Professional | $147.19 | $220.81 | $318.50 | |
United
| Professional | $214.70 | $266.39 | $429.21 |