| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $704.78 | $2,951.65 | $2,951.65 | |
Cigna
| Facility | $870.72 | $870.72 | $870.72 | |
Cigna
| Professional | $664.67 | $870.72 | $944.00 | |
Providence
| Facility | $430.87 | $1,066.00 | $1,084.74 | |
Providence
| Professional | $527.95 | $792.01 | $1,142.40 | |
United
| Professional | $836.41 | $976.20 | $1,518.85 |