| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $718.15 | $5,258.51 | $5,258.51 | |
Cigna
| Facility | $1,025.33 | $2,093.10 | $2,093.10 | |
Cigna
| Professional | $1,025.33 | $1,702.14 | $2,093.10 | |
Providence
| Facility | $894.38 | $1,993.43 | $2,093.10 | |
Providence
| Professional | $1,025.33 | $1,570.97 | $2,094.62 | |
United
| Professional | $723.34 | $800.32 | $916.13 |