| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.67 | $431.31 | $2,195.28 | |
Cigna
| Facility | $655.67 | $655.67 | $655.67 | |
Cigna
| Professional | $471.45 | $655.67 | $694.33 | |
Providence
| Facility | $324.55 | $775.45 | $799.48 | |
Providence
| Professional | $392.41 | $588.66 | $849.10 | |
United
| Professional | $608.42 | $706.81 | $1,135.89 |