| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,051.09 | $5,877.02 | $5,877.02 | |
Cigna
| Facility | $1,325.30 | $1,782.30 | $2,700.87 | |
Cigna
| Professional | $1,050.26 | $1,325.30 | $1,325.30 | |
Providence
| Facility | $1,325.30 | $1,782.30 | $2,700.87 | |
Providence
| Professional | $822.60 | $822.60 | $1,325.30 | |
United
| Professional | $383.88 | $383.88 | $914.00 |