| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.06 | $111.40 | $669.91 | |
Cigna
| Facility | $144.36 | $174.09 | $250.94 | |
Cigna
| Professional | $90.81 | $169.83 | $267.66 | |
Providence
| Facility | $108.40 | $169.83 | $320.05 | |
Providence
| Professional | $104.17 | $188.04 | $279.88 | |
United
| Professional | $120.54 | $144.29 | $213.59 |