| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.50 | $283.32 | $328.36 | |
Cigna
| Facility | $496.88 | $496.88 | $590.63 | |
Cigna
| Professional | $307.77 | $427.18 | $776.96 | |
Providence
| Facility | $112.50 | $317.82 | $590.63 | |
Providence
| Professional | $303.88 | $420.76 | $515.87 | |
United
| Professional | $392.49 | $472.59 | $552.69 |