| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.09 | $319.73 | $480.81 | |
Cigna
| Facility | $543.15 | $543.15 | $543.15 | |
Cigna
| Professional | $329.62 | $427.88 | $935.50 | |
Providence
| Facility | $322.81 | $409.25 | $686.18 | |
Providence
| Professional | $394.31 | $704.49 | $917.37 | |
United
| Professional | $407.25 | $513.00 | $594.00 |