| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.49 | $1,548.63 | $1,548.63 | |
Cigna
| Facility | $486.37 | $486.37 | $486.37 | |
Cigna
| Professional | $299.16 | $486.37 | $486.37 | |
Providence
| Facility | $238.06 | $486.37 | $504.10 | |
Providence
| Professional | $294.06 | $441.14 | $636.29 | |
United
| Professional | $391.51 | $483.15 | $851.92 |