| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $413.25 | $3,025.98 | $3,025.98 | |
Cigna
| Facility | $695.41 | $1,140.65 | $1,140.65 | |
Cigna
| Professional | $695.41 | $927.57 | $1,140.65 | |
Providence
| Facility | $535.17 | $1,086.33 | $1,140.65 | |
Providence
| Professional | $695.41 | $856.11 | $1,141.48 | |
United
| Professional | $432.83 | $478.89 | $732.83 |