| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $635.51 | $840.68 | $3,115.04 | |
Cigna
| Facility | $955.38 | $955.38 | $955.38 | |
Cigna
| Professional | $496.53 | $955.38 | $991.73 | |
Providence
| Facility | $473.42 | $650.96 | $955.38 | |
Providence
| Professional | $574.54 | $955.38 | $1,243.20 | |
United
| Professional | $804.63 | $973.24 | $1,095.67 |