| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.57 | $1,106.10 | $1,106.10 | |
Cigna
| Facility | $325.47 | $325.47 | $325.47 | |
Cigna
| Professional | $251.96 | $325.47 | $325.47 | |
Providence
| Facility | $325.47 | $386.75 | $401.64 | |
Providence
| Professional | $199.92 | $283.23 | $432.60 | |
United
| Professional | $303.44 | $366.60 | $570.71 |