| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.16 | $1,106.90 | $1,106.90 | |
Cigna
| Facility | $225.30 | $302.12 | $302.12 | |
Cigna
| Professional | $225.30 | $245.69 | $302.12 | |
Providence
| Facility | $160.41 | $287.73 | $302.12 | |
Providence
| Professional | $225.30 | $226.76 | $320.51 | |
United
| Professional | $129.74 | $143.54 | $219.66 |