| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.31 | $150.34 | $160.00 | |
Cigna
| Facility | $146.19 | $146.19 | $146.19 | |
Cigna
| Professional | $137.93 | $146.19 | $146.19 | |
Providence
| Facility | $137.93 | $146.19 | $193.23 | |
Providence
| Professional | $138.94 | $149.63 | $195.18 | |
United
| Professional | $137.93 | $137.93 | $137.93 |