| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.16 | $481.12 | $672.90 | |
Cigna
| Facility | $140.38 | $140.38 | $140.38 | |
Cigna
| Professional | $140.38 | $153.65 | $210.10 | |
Providence
| Facility | $86.90 | $254.15 | $260.58 | |
Providence
| Professional | $92.88 | $142.88 | $210.10 | |
United
| Professional | $187.72 | $226.78 | $348.71 |