| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $596.14 | $820.00 | $820.00 | |
Cigna
| Facility | $959.59 | $959.59 | $959.59 | |
Cigna
| Professional | $498.35 | $718.13 | $1,010.35 | |
Providence
| Facility | $162.44 | $504.09 | $959.59 | |
Providence
| Professional | $243.66 | $818.52 | $1,125.18 | |
United
| Professional | $419.71 | $484.57 | $581.48 |