| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $499.80 | $2,238.31 | $2,238.31 | |
Cigna
| Facility | $681.96 | $681.96 | $681.96 | |
Cigna
| Professional | $538.08 | $681.96 | $681.96 | |
Providence
| Facility | $681.96 | $866.45 | $929.14 | |
Providence
| Professional | $421.52 | $597.16 | $912.10 | |
United
| Professional | $609.12 | $777.60 | $1,199.73 |