| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.98 | $636.23 | $2,285.62 | |
Cigna
| Facility | $524.22 | $524.22 | $524.22 | |
Cigna
| Professional | $289.33 | $512.03 | $714.56 | |
Providence
| Facility | $258.14 | $379.87 | $599.33 | |
Providence
| Professional | $354.15 | $600.04 | $863.80 | |
United
| Professional | $576.22 | $701.46 | $784.64 |