| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $561.40 | $2,751.15 | $2,751.15 | |
Cigna
| Facility | $782.39 | $782.39 | $782.39 | |
Cigna
| Professional | $663.18 | $782.39 | $782.39 | |
Providence
| Facility | $782.39 | $782.39 | $782.39 | |
Providence
| Professional | $480.40 | $680.58 | $1,039.50 | |
United
| Facility | $614.92 | $614.92 | $6,295.00 | |
United
| Professional | $770.10 | $926.99 | $1,368.07 |