| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $505.45 | $2,950.45 | $2,950.45 | |
Cigna
| Facility | $923.83 | $923.83 | $923.83 | |
Cigna
| Professional | $645.00 | $923.83 | $923.83 | |
Providence
| Facility | $452.54 | $926.25 | $966.46 | |
Providence
| Professional | $558.67 | $838.11 | $1,208.90 | |
United
| Professional | $790.07 | $974.99 | $1,617.83 |