| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.10 | $680.42 | $1,033.07 | |
Cigna
| Facility | $194.02 | $194.02 | $194.02 | |
Cigna
| Professional | $194.02 | $230.47 | $1,437.54 | |
Providence
| Facility | $95.62 | $194.02 | $590.16 | |
Providence
| Professional | $128.97 | $612.16 | $1,217.35 | |
United
| Professional | $1,149.20 | $1,370.20 | $1,790.81 |