| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $664.53 | $2,782.87 | $2,782.87 | |
Cigna
| Facility | $821.83 | $821.83 | $821.83 | |
Cigna
| Professional | $630.99 | $821.83 | $890.46 | |
Providence
| Facility | $406.59 | $1,005.55 | $1,024.02 | |
Providence
| Professional | $497.87 | $746.88 | $1,077.30 | |
United
| Professional | $788.97 | $920.39 | $1,430.96 |