| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.91 | $1,119.63 | $1,119.63 | |
Cigna
| Facility | $181.86 | $305.58 | $305.58 | |
Cigna
| Professional | $181.86 | $305.58 | $305.58 | |
Providence
| Facility | $162.26 | $291.04 | $305.58 | |
Providence
| Professional | $181.86 | $229.37 | $334.70 | |
United
| Facility | $181.50 | $189.98 | $189.98 | |
United
| Professional | $131.22 | $145.19 | $166.21 |