| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.44 | $405.36 | $2,155.94 | |
Cigna
| Facility | $634.11 | $634.11 | $634.11 | |
Cigna
| Professional | $405.05 | $634.11 | $1,172.26 | |
Providence
| Facility | $389.49 | $606.16 | $823.52 | |
Providence
| Professional | $419.55 | $645.41 | $1,075.50 | |
United
| Professional | $578.20 | $696.20 | $851.72 |