| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,736.53 | $2,736.53 | $3,673.81 | |
Cigna
| Professional | $462.00 | $462.00 | $8,585.28 | |
Providence
| Facility | $486.50 | $573.27 | $6,240.67 | |
Providence
| Professional | $462.00 | $462.00 | $8,585.28 | |
United
| Professional | $2,473.63 | $2,634.40 | $4,390.66 |