| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.93 | $219.29 | $258.16 | |
Cigna
| Facility | $371.74 | $371.74 | $441.88 | |
Cigna
| Professional | $227.92 | $329.74 | $581.22 | |
Providence
| Facility | $184.10 | $245.03 | $441.88 | |
Providence
| Professional | $227.92 | $315.98 | $437.64 | |
United
| Professional | $303.81 | $365.81 | $440.79 |