| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $639.66 | $846.27 | $3,136.30 | |
Cigna
| Facility | $962.74 | $962.74 | $962.74 | |
Cigna
| Professional | $495.09 | $962.74 | $998.71 | |
Providence
| Facility | $476.78 | $655.58 | $962.74 | |
Providence
| Professional | $578.41 | $962.74 | $1,251.59 | |
United
| Professional | $809.80 | $972.07 | $1,102.71 |