| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $695.29 | $695.29 | $3,068.97 | |
Cigna
| Facility | $917.52 | $917.52 | $917.52 | |
Cigna
| Professional | $672.90 | $917.52 | $977.76 | |
Providence
| Facility | $454.22 | $1,085.50 | $1,122.06 | |
Providence
| Professional | $552.54 | $828.89 | $1,195.59 | |
United
| Professional | $873.61 | $1,018.68 | $1,592.85 |