| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.65 | $180.54 | $242.93 | |
Cigna
| Facility | $296.55 | $296.55 | $296.55 | |
Cigna
| Professional | $167.84 | $167.84 | $296.55 | |
Providence
| Facility | $170.12 | $191.72 | $291.55 | |
Providence
| Professional | $180.51 | $329.72 | $501.36 | |
United
| Professional | $257.56 | $313.77 | $367.16 |