| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.30 | $205.83 | $939.38 | |
Cigna
| Facility | $281.83 | $281.83 | $281.83 | |
Cigna
| Professional | $245.21 | $281.83 | $281.83 | |
Providence
| Facility | $281.83 | $281.83 | $281.83 | |
Providence
| Professional | $175.01 | $247.94 | $378.70 | |
United
| Professional | $278.72 | $321.60 | $496.71 |