| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $365.91 | $466.15 | $2,466.69 | |
Cigna
| Facility | $769.25 | $769.25 | $769.25 | |
Cigna
| Professional | $421.44 | $769.25 | $1,286.23 | |
Providence
| Facility | $437.13 | $577.61 | $826.05 | |
Providence
| Professional | $467.13 | $778.60 | $1,297.43 | |
United
| Professional | $644.84 | $761.15 | $960.40 |