| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.24 | $524.14 | $1,892.90 | |
Cigna
| Facility | $251.33 | $251.33 | $251.33 | |
Cigna
| Professional | $143.02 | $279.02 | $518.44 | |
Providence
| Facility | $124.57 | $250.07 | $430.18 | |
Providence
| Professional | $213.11 | $345.24 | $623.01 | |
United
| Professional | $412.08 | $556.60 | $647.67 |