| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.75 | $420.26 | $420.26 | |
Cigna
| Facility | $123.04 | $264.45 | $510.11 | |
Cigna
| Professional | $99.14 | $123.04 | $132.69 | |
Providence
| Facility | $75.90 | $156.86 | $264.45 | |
Providence
| Professional | $74.41 | $111.62 | $161.00 | |
United
| Professional | $119.09 | $141.99 | $217.36 |