| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.91 | $242.20 | $1,536.18 | |
Cigna
| Facility | $206.11 | $206.11 | $206.11 | |
Cigna
| Professional | $141.77 | $320.31 | $639.60 | |
Providence
| Facility | $127.90 | $234.29 | $403.42 | |
Providence
| Professional | $188.78 | $360.00 | $769.01 | |
United
| Professional | $407.00 | $504.68 | $658.71 |