| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.73 | $1,367.28 | $1,367.28 | |
Cigna
| Facility | $243.89 | $373.18 | $373.18 | |
Cigna
| Professional | $243.89 | $373.18 | $373.18 | |
Providence
| Facility | $198.15 | $355.41 | $373.18 | |
Providence
| Professional | $280.08 | $286.30 | $408.72 | |
United
| Professional | $160.25 | $177.31 | $271.33 |