| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,365.89 | $3,684.58 | $19,397.20 | |
Cigna
| Facility | $5,827.97 | $5,827.97 | $5,827.97 | |
Cigna
| Professional | $3,641.53 | $5,775.62 | $10,818.21 | |
Providence
| Facility | $2,867.30 | $3,730.33 | $7,507.30 | |
Providence
| Professional | $3,706.65 | $5,942.52 | $9,902.37 | |
United
| Professional | $5,161.05 | $6,478.79 | $7,926.00 |