| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.01 | $3,860.40 | $4,224.63 | |
Cigna
| Facility | $1,149.40 | $1,149.40 | $1,149.40 | |
Cigna
| Professional | $800.26 | $1,145.96 | $1,255.08 | |
Providence
| Facility | $644.98 | $853.55 | $1,550.34 | |
Providence
| Professional | $753.93 | $1,147.25 | $1,527.68 | |
United
| Professional | $1,083.82 | $1,337.49 | $1,461.55 |