| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $667.16 | $958.65 | $4,435.14 | |
Cigna
| Facility | $1,431.75 | $1,431.75 | $1,431.75 | |
Cigna
| Professional | $715.06 | $1,431.75 | $1,487.01 | |
Providence
| Facility | $707.98 | $884.97 | $1,431.75 | |
Providence
| Professional | $820.71 | $1,418.10 | $1,844.56 | |
United
| Professional | $1,176.40 | $1,401.67 | $1,601.91 |