| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $349.37 | $1,814.31 | $2,841.14 | |
Cigna
| Facility | $558.40 | $558.40 | $558.40 | |
Cigna
| Professional | $474.64 | $628.55 | $921.89 | |
Providence
| Facility | $313.81 | $532.16 | $851.47 | |
Providence
| Professional | $474.53 | $663.38 | $1,044.89 | |
United
| Professional | $751.50 | $894.94 | $977.95 |