| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.74 | $139.79 | $713.49 | |
Cigna
| Facility | $209.79 | $209.79 | $209.79 | |
Cigna
| Professional | $139.38 | $209.79 | $397.14 | |
Providence
| Facility | $129.83 | $283.44 | $417.45 | |
Providence
| Professional | $138.10 | $228.55 | $354.01 | |
United
| Professional | $198.90 | $247.18 | $392.96 |