| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $558.02 | $786.81 | $3,071.22 | |
Cigna
| Facility | $951.17 | $951.17 | $951.17 | |
Cigna
| Professional | $463.83 | $951.17 | $960.30 | |
Providence
| Facility | $468.88 | $635.79 | $951.17 | |
Providence
| Professional | $561.50 | $914.48 | $1,187.20 | |
United
| Professional | $787.72 | $955.32 | $1,072.63 |