| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.76 | $182.22 | $871.95 | |
Cigna
| Facility | $51.53 | $51.53 | $51.53 | |
Cigna
| Professional | $45.31 | $51.53 | $225.04 | |
Providence
| Facility | $51.53 | $273.00 | $303.60 | |
Providence
| Professional | $34.70 | $138.75 | $273.52 | |
United
| Professional | $214.79 | $269.63 | $402.38 |