| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,511.89 | $2,511.89 | |
Aetna
| Professional | $512.86 | $616.60 | $912.01 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $870.96 | $870.96 | $1,096.48 | |
Providence
| Facility | $489.78 | $724.44 | $912.01 | |
Providence
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $691.83 | $691.83 | $691.83 | |
United
| Professional | $316.23 | $316.23 | $457.09 |