| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,187.76 | $2,187.76 | |
Aetna
| Professional | $426.58 | $512.86 | $776.25 | |
Cigna
| Professional | $676.08 | $676.08 | $831.76 | |
Providence
| Facility | $575.44 | $602.56 | $794.33 | |
Providence
| Professional | $645.65 | $645.65 | $645.65 | |
United
| Facility | $575.44 | $575.44 | $575.44 | |
United
| Professional | $269.15 | $269.15 | $380.19 |