| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $723.88 | $3,041.34 | $3,041.34 | |
Cigna
| Facility | $898.07 | $898.07 | $898.07 | |
Cigna
| Professional | $686.94 | $898.07 | $971.94 | |
Providence
| Facility | $443.82 | $1,096.55 | $1,118.26 | |
Providence
| Professional | $542.83 | $814.33 | $1,174.59 | |
United
| Professional | $860.38 | $1,003.80 | $1,563.24 |