| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.11 | $190.43 | $1,139.97 | |
Cigna
| Facility | $153.01 | $153.01 | $153.01 | |
Cigna
| Professional | $105.04 | $222.15 | $451.17 | |
Providence
| Facility | $94.60 | $165.47 | $284.17 | |
Providence
| Professional | $136.61 | $259.67 | $536.74 | |
United
| Professional | $295.45 | $356.85 | $522.87 |