| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $2,454.71 | $2,454.71 | |
Aetna
| Professional | $501.19 | $707.95 | $891.25 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Providence
| Facility | $489.78 | $707.95 | $891.25 | |
Providence
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $676.08 | $676.08 | $676.08 | |
United
| Professional | $316.23 | $316.23 | $446.68 |