| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.56 | $855.18 | $855.18 | |
Cigna
| Facility | $182.31 | $233.42 | $233.42 | |
Cigna
| Professional | $182.31 | $189.81 | $233.42 | |
Providence
| Facility | $123.94 | $222.30 | $233.42 | |
Providence
| Professional | $175.19 | $182.31 | $233.58 | |
United
| Professional | $100.24 | $110.90 | $175.89 |