| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.43 | $312.38 | $1,815.71 | |
Cigna
| Facility | $350.18 | $350.18 | $350.18 | |
Cigna
| Professional | $268.26 | $394.91 | $806.20 | |
Providence
| Facility | $230.37 | $350.18 | $642.16 | |
Providence
| Professional | $301.82 | $516.69 | $836.48 | |
United
| Professional | $466.14 | $572.32 | $695.08 |