| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $598.00 | $3,343.60 | $3,343.60 | |
Cigna
| Facility | $754.00 | $884.00 | $2,964.00 | |
Cigna
| Professional | $754.00 | $754.00 | $754.00 | |
Providence
| Facility | $754.00 | $884.00 | $2,964.00 | |
Providence
| Professional | $468.00 | $468.00 | $754.00 | |
United
| Professional | $218.40 | $218.40 | $520.00 |