| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $439.82 | $2,155.64 | $2,155.64 | |
Cigna
| Facility | $610.45 | $610.45 | $610.45 | |
Cigna
| Professional | $475.73 | $610.45 | $610.45 | |
Providence
| Facility | $610.45 | $793.65 | $838.06 | |
Providence
| Professional | $373.97 | $529.79 | $809.20 | |
United
| Professional | $573.39 | $732.00 | $1,068.38 |