| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.68 | $178.88 | $1,019.17 | |
Cigna
| Facility | $194.43 | $271.83 | $337.96 | |
Cigna
| Professional | $239.63 | $399.35 | $557.19 | |
Providence
| Facility | $169.78 | $337.96 | $764.05 | |
Providence
| Professional | $166.31 | $299.14 | $447.98 | |
United
| Professional | $179.37 | $283.30 | $468.05 |