| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $439.71 | $1,847.98 | $2,254.84 | |
Cigna
| Facility | $545.78 | $545.78 | $545.78 | |
Cigna
| Professional | $545.78 | $591.89 | $707.71 | |
Providence
| Facility | $333.61 | $819.00 | $836.80 | |
Providence
| Professional | $357.16 | $549.44 | $759.77 | |
United
| Professional | $638.55 | $736.80 | $1,166.43 |