| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.49 | $1,260.98 | $2,521.94 | |
Aetna
| Professional | $630.49 | $1,008.78 | $1,008.78 | |
Cigna
| Facility | $546.41 | $546.41 | $546.41 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Providence
| Facility | $546.41 | $546.41 | $840.65 | |
Providence
| Professional | $689.33 | $840.65 | $840.65 | |
United
| Facility | $504.39 | $756.59 | $1,260.98 | |
United
| Professional | $353.07 | $353.07 | $504.39 |