| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $513.47 | $559.27 | $605.49 | |
Cigna
| Facility | $467.44 | $467.44 | $467.44 | |
Cigna
| Professional | $90.86 | $397.32 | $472.29 | |
Providence
| Facility | $40.00 | $40.00 | $467.44 | |
Providence
| Professional | $397.32 | $420.70 | $829.90 | |
United
| Professional | $70.56 | $83.52 | $92.16 |