| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.68 | $409.68 | $561.74 | |
Cigna
| Facility | $639.54 | $953.70 | $2,430.25 | |
Cigna
| Professional | $358.29 | $358.29 | $678.81 | |
Providence
| Facility | $639.54 | $953.70 | $2,430.25 | |
Providence
| Professional | $371.38 | $546.50 | $678.81 | |
United
| Professional | $676.80 | $676.80 | $676.80 |