| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $201.71 | $1,127.82 | $1,127.82 | |
Cigna
| Facility | $254.33 | $298.18 | $999.78 | |
Cigna
| Professional | $82.85 | $254.33 | $254.33 | |
Providence
| Facility | $254.33 | $298.18 | $999.78 | |
Providence
| Professional | $157.86 | $157.86 | $254.33 | |
United
| Facility | $175.40 | $175.40 | $175.40 | |
United
| Professional | $73.67 | $73.67 | $175.40 |