| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.70 | $345.18 | $390.00 | |
Cigna
| Facility | $573.65 | $573.65 | $573.65 | |
Cigna
| Professional | $378.20 | $573.65 | $1,081.84 | |
Providence
| Facility | $263.20 | $390.00 | $690.11 | |
Providence
| Professional | $361.37 | $555.91 | $803.42 | |
United
| Professional | $501.00 | $591.17 | $723.24 |