| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.66 | $297.83 | $1,449.88 | |
Cigna
| Facility | $438.52 | $438.52 | $438.52 | |
Cigna
| Professional | $342.35 | $438.52 | $438.52 | |
Providence
| Facility | $438.52 | $529.75 | $545.22 | |
Providence
| Professional | $269.80 | $382.22 | $583.79 | |
United
| Professional | $415.64 | $497.40 | $771.45 |