| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $388.39 | $2,171.60 | $2,171.60 | |
Cigna
| Facility | $489.71 | $574.14 | $1,925.06 | |
Cigna
| Professional | $489.71 | $489.71 | $489.71 | |
Providence
| Facility | $489.71 | $574.14 | $1,925.06 | |
Providence
| Professional | $303.95 | $303.95 | $489.71 | |
United
| Professional | $54.32 | $141.85 | $337.73 |