| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.26 | $1,158.81 | $1,158.81 | |
Cigna
| Facility | $188.22 | $316.27 | $316.27 | |
Cigna
| Professional | $188.22 | $257.20 | $316.27 | |
Providence
| Facility | $167.94 | $301.22 | $316.27 | |
Providence
| Professional | $188.22 | $237.38 | $337.25 | |
United
| Professional | $135.82 | $150.28 | $175.84 |