| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.83 | $422.50 | $562.30 | |
Cigna
| Facility | $627.28 | $627.28 | $760.63 | |
Cigna
| Professional | $331.50 | $536.52 | $1,703.47 | |
Providence
| Facility | $333.97 | $392.91 | $639.90 | |
Providence
| Professional | $389.17 | $636.79 | $977.07 | |
United
| Professional | $567.84 | $686.14 | $804.44 |