| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.03 | $284.14 | $1,441.51 | |
Cigna
| Facility | $428.00 | $428.00 | $428.00 | |
Cigna
| Professional | $288.00 | $428.00 | $801.60 | |
Providence
| Facility | $266.02 | $432.67 | $601.51 | |
Providence
| Professional | $279.35 | $430.89 | $724.92 | |
United
| Professional | $390.04 | $493.52 | $638.40 |