| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.11 | $349.56 | $817.41 | |
Cigna
| Facility | $388.10 | $388.10 | $934.22 | |
Cigna
| Professional | $346.11 | $346.11 | $388.10 | |
Providence
| Facility | $388.10 | $388.10 | $934.22 | |
Providence
| Professional | $346.11 | $375.50 | $489.78 | |
United
| Professional | $346.11 | $346.11 | $346.11 |