| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $582.91 | $2,441.69 | $2,441.69 | |
Cigna
| Facility | $721.92 | $721.92 | $721.92 | |
Cigna
| Professional | $545.00 | $721.92 | $781.04 | |
Providence
| Facility | $356.74 | $878.80 | $895.62 | |
Providence
| Professional | $436.73 | $655.16 | $945.00 | |
United
| Professional | $689.52 | $807.61 | $1,255.22 |