| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.06 | $2,138.91 | $2,138.91 | |
Cigna
| Facility | $685.12 | $685.12 | $685.12 | |
Cigna
| Professional | $448.77 | $685.12 | $685.12 | |
Providence
| Facility | $335.12 | $697.45 | $742.56 | |
Providence
| Professional | $413.43 | $620.21 | $894.60 | |
United
| Professional | $565.88 | $710.36 | $1,196.95 |