| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.32 | $308.47 | $339.31 | |
Cigna
| Facility | $206.11 | $206.11 | $452.69 | |
Cigna
| Professional | $206.11 | $321.72 | $349.04 | |
Providence
| Facility | $103.45 | $214.45 | $342.67 | |
Providence
| Professional | $137.40 | $290.00 | $1,800,000.00 | |
United
| Professional | $309.70 | $309.70 | $309.70 |