| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $347.58 | $439.11 | $699.64 | |
Cigna
| Facility | $780.29 | $780.29 | $780.29 | |
Cigna
| Professional | $447.46 | $576.44 | $1,204.75 | |
Providence
| Facility | $468.20 | $577.80 | $990.65 | |
Providence
| Professional | $541.33 | $921.88 | $1,333.37 | |
United
| Professional | $584.20 | $713.40 | $832.80 |