| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $472.24 | $2,154.40 | $2,154.40 | |
Cigna
| Facility | $647.26 | $647.26 | $647.26 | |
Cigna
| Professional | $566.42 | $647.26 | $647.26 | |
Providence
| Facility | $647.26 | $647.26 | $647.26 | |
Providence
| Professional | $401.46 | $568.75 | $868.70 | |
United
| Professional | $640.12 | $738.60 | $1,142.38 |