| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.35 | $170.61 | $296.69 | |
Cigna
| Facility | $155.88 | $155.88 | $334.28 | |
Cigna
| Professional | $141.60 | $141.60 | $155.88 | |
Providence
| Facility | $155.88 | $155.88 | $334.28 | |
Providence
| Professional | $141.60 | $153.63 | $200.39 | |
United
| Professional | $141.60 | $141.60 | $141.60 |