| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.82 | $450.80 | $1,820.34 | |
Cigna
| Facility | $558.40 | $558.40 | $558.40 | |
Cigna
| Professional | $474.64 | $575.60 | $864.94 | |
Providence
| Facility | $312.33 | $525.95 | $841.52 | |
Providence
| Professional | $474.53 | $658.98 | $1,039.83 | |
United
| Professional | $738.92 | $889.72 | $965.12 |