| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.77 | $182.01 | $976.88 | |
Cigna
| Facility | $265.52 | $265.52 | $315.63 | |
Cigna
| Professional | $172.34 | $251.80 | $410.43 | |
Providence
| Facility | $155.19 | $248.30 | $374.97 | |
Providence
| Professional | $172.34 | $282.54 | $470.81 | |
United
| Professional | $249.90 | $295.80 | $337.26 |