| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,947.82 | $2,947.82 | $3,784.56 | |
Cigna
| Professional | $479.92 | $479.92 | $9,248.04 | |
Providence
| Facility | $524.05 | $579.25 | $6,722.61 | |
Providence
| Professional | $479.92 | $479.92 | $9,248.04 | |
United
| Professional | $2,697.29 | $2,872.59 | $4,787.64 |