| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $1,348.96 | $1,348.96 | |
Aetna
| Professional | $263.03 | $316.23 | $467.74 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
Providence
| Facility | $234.42 | $371.54 | $489.78 | |
Providence
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $165.96 | $165.96 | $234.42 |