| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.87 | $2,605.80 | $2,605.80 | |
Cigna
| Facility | $576.88 | $982.28 | $982.28 | |
Cigna
| Professional | $576.88 | $982.28 | $982.28 | |
Providence
| Facility | $460.86 | $935.50 | $982.28 | |
Providence
| Professional | $576.88 | $737.24 | $982.98 | |
United
| Professional | $372.73 | $412.39 | $654.04 |