| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $342.93 | $1,619.84 | $1,619.84 | |
Cigna
| Facility | $487.94 | $487.94 | $487.94 | |
Cigna
| Professional | $369.00 | $487.94 | $530.20 | |
Providence
| Facility | $240.98 | $560.95 | $595.82 | |
Providence
| Professional | $295.68 | $443.56 | $639.79 | |
United
| Professional | $440.13 | $535.79 | $856.56 |