| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $377.36 | $2,763.13 | $2,763.13 | |
Cigna
| Facility | $512.80 | $754.17 | $754.17 | |
Cigna
| Professional | $512.80 | $613.29 | $754.17 | |
Providence
| Facility | $400.45 | $718.26 | $754.17 | |
Providence
| Professional | $512.80 | $566.04 | $754.72 | |
United
| Professional | $323.87 | $358.33 | $548.34 |