| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $392.58 | $489.44 | $579.03 | |
Cigna
| Facility | $878.61 | $878.61 | $878.61 | |
Cigna
| Professional | $517.42 | $721.38 | $1,530.80 | |
Providence
| Facility | $491.33 | $613.42 | $1,141.26 | |
Providence
| Professional | $538.67 | $746.82 | $899.39 | |
United
| Professional | $526.85 | $650.16 | $855.68 |