| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,698.24 | $1,698.24 | |
Aetna
| Professional | $338.84 | $416.87 | $616.60 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $588.84 | $588.84 | $741.31 | |
Providence
| Facility | $331.13 | $489.78 | $616.60 | |
Providence
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Professional | $213.80 | $213.80 | $309.03 |