| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.47 | $574.60 | $574.60 | |
Cigna
| Facility | $121.82 | $185.27 | $185.27 | |
Cigna
| Professional | $121.82 | $150.66 | $185.27 | |
Providence
| Facility | $98.37 | $176.45 | $185.27 | |
Providence
| Professional | $121.82 | $139.05 | $185.40 | |
United
| Professional | $79.56 | $88.03 | $134.69 |