| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $645.65 | $741.31 | |
Aetna
| Professional | $144.54 | $181.97 | $234.42 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
Providence
| Facility | $125.89 | $186.21 | $269.15 | |
Providence
| Professional | $194.98 | $194.98 | $194.98 | |
United
| Facility | $223.87 | $223.87 | $223.87 | |
United
| Professional | $81.28 | $87.10 | $117.49 |