| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $452.14 | $664.25 | $2,430.48 | |
Cigna
| Facility | $690.38 | $690.38 | $690.38 | |
Cigna
| Professional | $354.92 | $621.34 | $757.18 | |
Providence
| Facility | $342.82 | $469.61 | $690.38 | |
Providence
| Professional | $444.78 | $684.24 | $956.56 | |
United
| Professional | $619.92 | $738.64 | $844.15 |