| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.90 | $420.02 | $420.02 | |
Cigna
| Facility | $609.92 | $609.92 | $609.92 | |
Cigna
| Professional | $518.44 | $548.94 | $609.92 | |
Providence
| Facility | $231.93 | $231.93 | $609.92 | |
Providence
| Professional | $518.44 | $609.92 | $808.60 | |
United
| Professional | $513.24 | $633.35 | $698.88 |