| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.64 | $2,036.72 | $2,036.72 | |
Cigna
| Facility | $602.57 | $602.57 | $602.57 | |
Cigna
| Professional | $602.57 | $602.57 | $742.19 | |
Providence
| Facility | $602.57 | $1,160.90 | $1,197.32 | |
Providence
| Professional | $371.70 | $556.70 | $804.30 | |
United
| Professional | $610.48 | $744.08 | $1,160.90 |