| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $867.74 | $968.18 | $1,684.63 | |
Cigna
| Facility | $867.99 | $867.99 | $1,900.04 | |
Cigna
| Professional | $796.09 | $867.99 | $867.99 | |
Providence
| Facility | $796.09 | $867.99 | $1,900.04 | |
Providence
| Professional | $863.68 | $863.68 | $1,013.89 | |
United
| Professional | $796.09 | $796.09 | $796.09 |