| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.34 | $450.90 | $580.95 | |
Cigna
| Facility | $740.33 | $740.33 | $880.00 | |
Cigna
| Professional | $629.28 | $740.33 | $2,437.41 | |
Providence
| Facility | $389.24 | $440.35 | $740.33 | |
Providence
| Professional | $405.02 | $573.79 | $740.33 | |
United
| Professional | $589.10 | $726.10 | $1,245.07 |