| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.69 | $192.81 | $979.27 | |
Cigna
| Facility | $289.72 | $289.72 | $289.72 | |
Cigna
| Professional | $185.06 | $280.37 | $435.29 | |
Providence
| Facility | $188.85 | $282.61 | $395.93 | |
Providence
| Professional | $175.01 | $291.70 | $457.55 | |
United
| Professional | $265.70 | $307.22 | $355.75 |