| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.62 | $600.00 | $1,253.14 | |
Cigna
| Facility | $573.65 | $573.65 | $573.65 | |
Cigna
| Professional | $379.21 | $573.65 | $1,829.95 | |
Providence
| Facility | $262.00 | $451.10 | $738.51 | |
Providence
| Professional | $248.18 | $498.63 | $761.60 | |
United
| Professional | $436.75 | $548.08 | $941.70 |