| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,219.14 | $6,089.99 | $6,089.99 | |
Cigna
| Facility | $1,904.97 | $1,904.97 | $1,904.97 | |
Cigna
| Professional | $1,256.22 | $1,904.97 | $1,957.85 | |
Providence
| Facility | $936.45 | $1,978.60 | $2,089.15 | |
Providence
| Professional | $1,123.19 | $1,684.96 | $2,430.40 | |
United
| Professional | $1,582.96 | $1,953.44 | $3,243.96 |