| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.68 | $260.14 | $1,022.00 | |
Cigna
| Facility | $324.42 | $324.42 | $324.42 | |
Cigna
| Professional | $177.57 | $324.42 | $359.09 | |
Providence
| Facility | $159.66 | $219.55 | $324.42 | |
Providence
| Professional | $196.04 | $324.42 | $429.80 | |
United
| Professional | $304.45 | $340.28 | $378.37 |