| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.26 | $231.55 | $1,207.05 | |
Cigna
| Facility | $367.53 | $367.53 | $367.53 | |
Cigna
| Professional | $225.93 | $367.53 | $675.89 | |
Providence
| Facility | $225.97 | $328.04 | $432.00 | |
Providence
| Professional | $244.93 | $376.90 | $628.04 | |
United
| Professional | $323.85 | $399.62 | $497.32 |