| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.00 | $1,813.12 | $2,218.04 | |
Cigna
| Facility | $535.26 | $535.26 | $535.26 | |
Cigna
| Professional | $503.79 | $580.25 | $697.82 | |
Providence
| Facility | $328.18 | $785.85 | $808.34 | |
Providence
| Professional | $350.85 | $539.74 | $746.46 | |
United
| Professional | $616.59 | $724.80 | $1,147.92 |