| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $329.10 | $340.07 | $374.08 | |
Cigna
| Facility | $114.90 | $226.35 | $558.75 | |
Cigna
| Professional | $341.06 | $470.07 | $732.88 | |
Providence
| Facility | $119.83 | $436.62 | $663.49 | |
Providence
| Professional | $291.14 | $436.77 | $687.27 | |
United
| Professional | $443.64 | $566.36 | $674.43 |