| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.65 | $870.31 | $1,218.85 | |
Cigna
| Facility | $592.04 | $592.04 | $703.75 | |
Cigna
| Professional | $592.04 | $592.04 | $889.54 | |
Providence
| Facility | $540.22 | $648.38 | $1,218.85 | |
Providence
| Professional | $132.63 | $342.31 | $637.44 | |
United
| Professional | $402.80 | $414.82 | $713.03 |