| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.86 | $803.77 | $3,398.05 | |
Cigna
| Facility | $213.47 | $213.47 | $213.47 | |
Cigna
| Professional | $213.47 | $213.47 | $750.32 | |
Providence
| Facility | $106.14 | $213.47 | $459.04 | |
Providence
| Professional | $140.19 | $458.18 | $797.48 | |
United
| Professional | $836.59 | $1,067.99 | $1,349.56 |