| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $591.61 | $2,475.51 | $2,475.51 | |
Cigna
| Facility | $731.91 | $731.91 | $731.91 | |
Cigna
| Professional | $554.45 | $731.91 | $792.10 | |
Providence
| Facility | $361.64 | $893.10 | $909.54 | |
Providence
| Professional | $443.20 | $664.86 | $959.00 | |
United
| Professional | $700.74 | $818.40 | $1,274.66 |