| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.96 | $401.47 | $1,119.45 | |
Cigna
| Facility | $627.49 | $711.15 | $1,248.70 | |
Cigna
| Professional | $411.15 | $411.15 | $463.54 | |
Providence
| Facility | $401.47 | $427.27 | $857.56 | |
Providence
| Professional | $411.15 | $463.54 | $503.85 | |
United
| Professional | $403.08 | $403.08 | $403.08 |