| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.65 | $229.60 | $229.60 | |
Cigna
| Facility | $212.67 | $212.67 | $212.67 | |
Cigna
| Professional | $193.76 | $193.76 | $212.67 | |
Providence
| Facility | $212.67 | $212.67 | $212.67 | |
Providence
| Professional | $193.76 | $210.21 | $274.19 | |
United
| Professional | $193.76 | $193.76 | $193.76 |