| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.76 | $1,008.49 | $1,008.49 | |
Cigna
| Facility | $231.66 | $380.15 | $380.15 | |
Cigna
| Professional | $231.66 | $380.15 | $380.15 | |
Providence
| Facility | $178.36 | $362.05 | $380.15 | |
Providence
| Professional | $231.66 | $285.32 | $380.42 | |
United
| Professional | $144.25 | $159.61 | $253.13 |