| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $225.18 | $250.01 | $457.16 | |
Cigna
| Facility | $230.09 | $230.09 | $513.77 | |
Cigna
| Professional | $206.59 | $206.59 | $230.09 | |
Providence
| Facility | $230.09 | $230.09 | $513.77 | |
Providence
| Professional | $206.59 | $224.14 | $292.35 | |
United
| Professional | $206.59 | $206.59 | $206.59 |