| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,031.55 | $5,767.71 | $5,767.71 | |
Cigna
| Facility | $1,300.65 | $1,749.15 | $2,650.64 | |
Cigna
| Professional | $1,030.84 | $1,300.65 | $1,300.65 | |
Providence
| Facility | $1,300.65 | $1,749.15 | $2,650.64 | |
Providence
| Professional | $807.30 | $897.00 | $1,300.65 | |
United
| Professional | $376.74 | $376.74 | $897.00 |