| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.04 | $1,545.30 | $1,545.30 | |
Cigna
| Facility | $251.00 | $421.77 | $421.77 | |
Cigna
| Professional | $251.00 | $342.99 | $421.77 | |
Providence
| Facility | $223.95 | $401.69 | $421.77 | |
Providence
| Professional | $251.00 | $316.57 | $422.09 | |
United
| Professional | $181.12 | $200.40 | $229.40 |