| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.60 | $691.98 | $3,191.38 | |
Cigna
| Facility | $893.86 | $893.86 | $893.86 | |
Cigna
| Professional | $722.72 | $893.86 | $893.86 | |
Providence
| Facility | $893.86 | $1,155.70 | $1,234.64 | |
Providence
| Professional | $548.01 | $776.36 | $1,185.80 | |
United
| Professional | $906.78 | $1,086.00 | $1,564.17 |