| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.16 | $1,040.89 | $1,040.89 | |
Cigna
| Facility | $234.73 | $315.67 | $478.36 | |
Cigna
| Professional | $46.61 | $232.31 | $234.73 | |
Providence
| Facility | $119.99 | $275.20 | $478.36 | |
Providence
| Professional | $145.69 | $145.69 | $234.73 | |
United
| Professional | $41.22 | $67.98 | $161.88 |