| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.18 | $1,867.60 | $1,867.60 | |
Cigna
| Facility | $551.04 | $551.04 | $551.04 | |
Cigna
| Professional | $417.48 | $551.04 | $598.29 | |
Providence
| Facility | $272.27 | $672.10 | $685.00 | |
Providence
| Professional | $334.18 | $501.31 | $723.10 | |
United
| Facility | $438.94 | $438.94 | $10,167.24 | |
United
| Professional | $527.35 | $617.40 | $961.08 |