| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $542.97 | $602.34 | $1,286.08 | |
Cigna
| Facility | $560.22 | $560.22 | $1,450.32 | |
Cigna
| Professional | $498.14 | $498.14 | $560.22 | |
Providence
| Facility | $560.22 | $560.22 | $1,450.32 | |
Providence
| Professional | $498.14 | $540.42 | $704.91 | |
United
| Professional | $498.14 | $498.14 | $498.14 |