| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.50 | $464.76 | $2,311.62 | |
Cigna
| Facility | $769.25 | $769.25 | $769.25 | |
Cigna
| Professional | $483.71 | $769.25 | $2,172.48 | |
Providence
| Facility | $335.53 | $493.70 | $945.90 | |
Providence
| Professional | $427.94 | $636.12 | $971.60 | |
United
| Professional | $646.30 | $773.02 | $951.66 |