| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.61 | $198.24 | $666.55 | |
Cigna
| Facility | $242.57 | $242.57 | $242.57 | |
Cigna
| Professional | $94.26 | $242.57 | $242.57 | |
Providence
| Facility | $214.70 | $242.57 | $360.53 | |
Providence
| Professional | $182.06 | $182.06 | $270.73 | |
United
| Professional | $93.88 | $97.97 | $115.25 |