| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.33 | $1,075.58 | $3,056.22 | |
Cigna
| Facility | $317.06 | $317.06 | $317.06 | |
Cigna
| Professional | $241.50 | $317.06 | $3,317.66 | |
Providence
| Facility | $317.06 | $317.06 | $317.06 | |
Providence
| Professional | $211.35 | $1,352.06 | $3,095.40 | |
United
| Professional | $3,100.76 | $3,779.33 | $10,010.87 |