| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.23 | $189.98 | $1,069.55 | |
Cigna
| Facility | $165.10 | $165.10 | $165.10 | |
Cigna
| Professional | $109.90 | $234.44 | $480.84 | |
Providence
| Facility | $105.29 | $213.50 | $393.42 | |
Providence
| Professional | $148.59 | $277.36 | $562.84 | |
United
| Professional | $278.95 | $346.80 | $433.41 |