| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $263.03 | $316.23 | $467.74 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
Providence
| Facility | $251.19 | $371.54 | $467.74 | |
Providence
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $165.96 | $165.96 | $234.42 |