| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.65 | $2,128.33 | $2,128.33 | |
Cigna
| Facility | $479.95 | $562.70 | $1,886.70 | |
Cigna
| Professional | $479.95 | $479.95 | $479.95 | |
Providence
| Facility | $479.95 | $562.70 | $1,886.70 | |
Providence
| Professional | $297.89 | $297.89 | $479.95 | |
United
| Professional | $108.64 | $139.02 | $259.06 |