| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.45 | $104.81 | $537.19 | |
Cigna
| Facility | $150.90 | $150.90 | $150.90 | |
Cigna
| Professional | $100.58 | $150.90 | $299.33 | |
Providence
| Facility | $92.73 | $143.65 | $166.65 | |
Providence
| Professional | $105.88 | $179.38 | $258.66 | |
United
| Professional | $143.57 | $172.87 | $203.95 |