| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.86 | $192.35 | $1,097.54 | |
Cigna
| Facility | $166.68 | $166.68 | $166.68 | |
Cigna
| Professional | $111.23 | $238.17 | $505.06 | |
Providence
| Facility | $100.81 | $212.30 | $419.98 | |
Providence
| Professional | $150.01 | $280.95 | $577.40 | |
United
| Professional | $288.66 | $349.87 | $428.02 |