| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.93 | $866.47 | $2,139.36 | |
Cigna
| Facility | $257.12 | $257.12 | $257.12 | |
Cigna
| Professional | $257.12 | $277.02 | $602.95 | |
Providence
| Facility | $159.52 | $718.25 | $752.04 | |
Providence
| Professional | $167.54 | $374.61 | $624.39 | |
United
| Professional | $558.62 | $668.48 | $1,060.06 |