| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $448.71 | $1,876.96 | $1,876.96 | |
Cigna
| Facility | $553.66 | $553.66 | $553.66 | |
Cigna
| Professional | $421.85 | $553.66 | $601.21 | |
Providence
| Facility | $274.08 | $674.70 | $687.53 | |
Providence
| Professional | $336.12 | $504.23 | $727.30 | |
United
| Professional | $529.38 | $610.07 | $966.62 |