| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.51 | $1,329.04 | $1,329.04 | |
Cigna
| Facility | $215.87 | $362.75 | $362.75 | |
Cigna
| Professional | $215.87 | $295.00 | $362.75 | |
Providence
| Facility | $192.62 | $345.48 | $362.75 | |
Providence
| Professional | $215.87 | $272.26 | $363.01 | |
United
| Professional | $155.78 | $172.36 | $273.36 |