| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.83 | $1,185.01 | $1,185.01 | |
Cigna
| Facility | $246.11 | $520.14 | $520.14 | |
Cigna
| Professional | $246.11 | $422.98 | $520.14 | |
Providence
| Facility | $219.58 | $495.37 | $520.14 | |
Providence
| Professional | $246.11 | $390.38 | $520.51 | |
United
| Professional | $177.59 | $196.49 | $224.93 |