| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $438.75 | $680.68 | $2,524.11 | |
Cigna
| Facility | $653.57 | $653.57 | $653.57 | |
Cigna
| Professional | $397.72 | $653.57 | $803.16 | |
Providence
| Facility | $326.20 | $448.54 | $661.35 | |
Providence
| Professional | $401.79 | $653.57 | $911.43 | |
United
| Professional | $650.48 | $775.04 | $885.76 |