| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $377.62 | $468.86 | $1,768.05 | |
Cigna
| Facility | $516.34 | $516.34 | $516.34 | |
Cigna
| Professional | $516.34 | $516.34 | $592.52 | |
Providence
| Facility | $516.34 | $924.30 | $952.55 | |
Providence
| Professional | $318.64 | $478.02 | $689.50 | |
United
| Professional | $529.36 | $645.20 | $924.29 |