| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $464.27 | $1,940.95 | $1,940.95 | |
Cigna
| Facility | $573.65 | $573.65 | $573.65 | |
Cigna
| Professional | $436.23 | $573.65 | $622.16 | |
Providence
| Facility | $283.64 | $699.40 | $712.20 | |
Providence
| Professional | $347.76 | $521.70 | $752.50 | |
United
| Professional | $548.76 | $641.40 | $998.99 |