| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $558.73 | $793.74 | $3,072.06 | |
Cigna
| Facility | $918.05 | $918.05 | $918.05 | |
Cigna
| Professional | $473.53 | $918.05 | $977.18 | |
Providence
| Facility | $453.07 | $588.66 | $918.05 | |
Providence
| Professional | $548.66 | $914.48 | $1,187.20 | |
United
| Professional | $756.90 | $951.34 | $1,068.17 |