| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,425.30 | $1,753.80 | $7,335.79 | |
Cigna
| Facility | $2,178.39 | $2,178.39 | $2,178.39 | |
Cigna
| Professional | $1,588.85 | $2,178.39 | $2,334.40 | |
Providence
| Facility | $1,077.05 | $2,605.85 | $2,665.99 | |
Providence
| Professional | $1,316.00 | $1,974.20 | $2,847.60 | |
United
| Professional | $2,044.58 | $2,378.29 | $3,792.51 |