| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $500.50 | $540.14 | $598.26 | |
Cigna
| Facility | $552.95 | $552.95 | $552.95 | |
Cigna
| Professional | $495.55 | $495.55 | $552.95 | |
Providence
| Facility | $552.95 | $552.95 | $552.95 | |
Providence
| Professional | $495.55 | $537.63 | $701.25 | |
United
| Professional | $495.55 | $495.55 | $495.55 |