| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $603.41 | $2,844.97 | $2,844.97 | |
Cigna
| Facility | $857.05 | $857.05 | $857.05 | |
Cigna
| Professional | $641.75 | $857.05 | $930.62 | |
Providence
| Facility | $422.03 | $980.85 | $1,042.35 | |
Providence
| Professional | $519.86 | $779.88 | $1,124.90 | |
United
| Professional | $769.59 | $942.01 | $1,502.20 |