| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.69 | $2,156.48 | $2,156.48 | |
Cigna
| Facility | $486.30 | $570.15 | $1,911.67 | |
Cigna
| Professional | $486.30 | $486.30 | $486.30 | |
Providence
| Facility | $486.30 | $570.15 | $1,911.67 | |
Providence
| Professional | $301.83 | $301.83 | $486.30 | |
United
| Professional | $140.86 | $140.86 | $335.38 |