| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.41 | $1,333.00 | $1,333.00 | |
Cigna
| Facility | $300.60 | $352.43 | $1,181.67 | |
Cigna
| Professional | $300.60 | $300.60 | $300.60 | |
Providence
| Facility | $300.60 | $352.43 | $1,181.67 | |
Providence
| Professional | $186.58 | $186.58 | $300.60 | |
United
| Professional | $87.07 | $87.07 | $207.31 |