| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.96 | $215.97 | $256.95 | |
Cigna
| Facility | $239.62 | $239.62 | $239.62 | |
Cigna
| Professional | $213.84 | $213.84 | $239.62 | |
Providence
| Facility | $239.62 | $239.62 | $239.62 | |
Providence
| Professional | $213.84 | $232.00 | $302.61 | |
United
| Professional | $213.84 | $213.84 | $213.84 |