| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $382.88 | $485.00 | $1,976.56 | |
Cigna
| Facility | $575.75 | $575.75 | $575.75 | |
Cigna
| Professional | $325.56 | $575.75 | $668.85 | |
Providence
| Facility | $282.67 | $339.96 | $575.75 | |
Providence
| Professional | $355.20 | $575.75 | $788.77 | |
United
| Professional | $505.71 | $627.55 | $753.06 |