| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.18 | $314.16 | $1,727.51 | |
Cigna
| Facility | $304.95 | $304.95 | $304.95 | |
Cigna
| Professional | $304.95 | $328.25 | $552.62 | |
Providence
| Facility | $189.52 | $519.35 | $540.16 | |
Providence
| Professional | $198.38 | $369.78 | $568.86 | |
United
| Professional | $435.69 | $546.92 | $971.26 |