| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $520.98 | $2,375.51 | $2,375.51 | |
Cigna
| Facility | $714.56 | $714.56 | $714.56 | |
Cigna
| Professional | $643.22 | $714.56 | $714.56 | |
Providence
| Facility | $714.56 | $714.56 | $714.56 | |
Providence
| Professional | $442.87 | $643.22 | $958.30 | |
United
| Professional | $705.65 | $814.21 | $1,258.01 |