| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.59 | $262.31 | $1,028.67 | |
Cigna
| Facility | $326.52 | $326.52 | $326.52 | |
Cigna
| Professional | $164.03 | $323.58 | $326.52 | |
Providence
| Facility | $160.69 | $220.96 | $326.52 | |
Providence
| Professional | $197.34 | $323.58 | $427.00 | |
United
| Professional | $299.98 | $336.56 | $380.92 |