| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,232.55 | $1,232.55 | $1,232.55 | |
Cigna
| Facility | $1,905.29 | $2,159.33 | $2,603.90 | |
Providence
| Facility | $21.89 | $1,311.75 | $2,603.90 | |
Providence
| Professional | $1,673.90 | $1,673.90 | $2,047.01 |