| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $706.46 | $2,959.12 | $2,959.12 | |
Cigna
| Facility | $873.35 | $873.35 | $873.35 | |
Cigna
| Professional | $666.63 | $873.35 | $946.33 | |
Providence
| Facility | $431.90 | $1,068.59 | $1,088.53 | |
Providence
| Professional | $529.25 | $793.95 | $1,145.20 | |
United
| Professional | $838.44 | $962.29 | $1,522.54 |