| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.75 | $132.71 | $813.66 | |
Cigna
| Facility | $144.36 | $202.43 | $250.94 | |
Cigna
| Professional | $195.57 | $312.70 | $528.37 | |
Providence
| Facility | $127.38 | $250.94 | $724.52 | |
Providence
| Professional | $124.22 | $223.00 | $337.92 | |
United
| Professional | $143.28 | $171.94 | $251.63 |