| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.97 | $72.97 | $72.97 | |
Cigna
| Facility | $341.17 | $508.76 | $1,296.45 | |
Cigna
| Professional | $136.94 | $136.94 | $349.66 | |
Providence
| Facility | $341.17 | $508.76 | $1,296.45 | |
Providence
| Professional | $106.76 | $214.86 | $349.66 | |
United
| Professional | $83.51 | $83.51 | $83.51 |