| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $518.28 | $688.64 | $2,551.69 | |
Cigna
| Facility | $782.92 | $782.92 | $782.92 | |
Cigna
| Professional | $404.25 | $782.92 | $811.89 | |
Providence
| Facility | $388.47 | $534.15 | $782.92 | |
Providence
| Professional | $469.08 | $781.84 | $1,015.00 | |
United
| Professional | $657.99 | $797.45 | $895.99 |