| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $994.58 | $1,065.73 | $1,065.73 | |
Cigna
| Facility | $1,469.61 | $1,469.61 | $1,469.61 | |
Cigna
| Professional | $1,249.17 | $1,322.65 | $1,469.61 | |
Providence
| Facility | $593.08 | $593.08 | $1,469.61 | |
Providence
| Professional | $1,249.17 | $1,469.61 | $2,049.98 | |
United
| Professional | $1,413.21 | $1,607.17 | $1,773.44 |