| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.87 | $153.85 | $806.76 | |
Cigna
| Facility | $236.61 | $236.61 | $236.61 | |
Cigna
| Professional | $157.44 | $236.61 | $442.70 | |
Providence
| Facility | $118.92 | $153.77 | $308.20 | |
Providence
| Professional | $158.43 | $245.08 | $406.12 | |
United
| Professional | $209.71 | $264.00 | $331.81 |