| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.00 | $4,499.00 | $17,181.00 | |
Aetna
| Professional | $2,410.00 | $7,624.00 | $16,426.00 | |
Cigna
| Facility | $9,314.00 | $11,662.00 | $20,280.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Facility | $6,600.00 | $12,112.00 | $25,655.00 | |
United
| Facility | $7,503.00 | $19,002.00 | $40,083.00 |