| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,536.50 | $1,536.50 | $1,536.50 | |
Cigna
| Facility | $1,300.65 | $1,300.65 | $1,300.65 | |
Cigna
| Professional | $1,030.84 | $1,288.56 | $1,300.65 | |
Providence
| Facility | $1,300.65 | $1,300.65 | $1,300.65 | |
Providence
| Professional | $897.00 | $1,076.40 | $1,300.65 | |
United
| Professional | $376.74 | $376.74 | $897.00 |