| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.56 | $153.90 | $224.37 | |
Cigna
| Facility | $249.23 | $249.23 | $249.23 | |
Cigna
| Professional | $176.50 | $249.23 | $249.23 | |
Providence
| Facility | $130.22 | $166.05 | $249.23 | |
Providence
| Professional | $145.53 | $238.32 | $280.38 | |
United
| Professional | $272.41 | $298.70 | $371.72 |