| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.18 | $172.69 | $283.98 | |
Cigna
| Facility | $301.27 | $301.27 | $301.27 | |
Cigna
| Professional | $163.01 | $301.27 | $326.50 | |
Providence
| Facility | $147.69 | $203.09 | $301.27 | |
Providence
| Professional | $181.81 | $301.27 | $393.40 | |
United
| Professional | $266.22 | $317.49 | $353.93 |