| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,331.83 | $2,498.76 | $2,498.76 | |
Cigna
| Facility | $3,416.65 | $3,416.65 | $3,416.65 | |
Cigna
| Professional | $2,904.15 | $3,074.99 | $3,416.65 | |
Providence
| Facility | $1,378.61 | $1,672.62 | $3,416.65 | |
Providence
| Professional | $2,904.15 | $3,416.65 | $4,806.47 | |
United
| Professional | $2,018.42 | $3,703.85 | $4,288.67 |