| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.78 | $161.61 | $902.38 | |
Cigna
| Facility | $269.74 | $269.74 | $269.74 | |
Cigna
| Professional | $140.52 | $269.74 | $277.61 | |
Providence
| Facility | $133.18 | $183.12 | $269.74 | |
Providence
| Professional | $164.99 | $269.74 | $357.00 | |
United
| Professional | $237.35 | $283.29 | $328.02 |