| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $566.54 | $4,148.45 | $4,148.45 | |
Cigna
| Facility | $711.81 | $1,132.29 | $1,132.29 | |
Cigna
| Professional | $711.81 | $1,132.29 | $1,132.29 | |
Providence
| Facility | $601.22 | $1,078.36 | $1,132.29 | |
Providence
| Professional | $711.81 | $849.83 | $1,182.78 | |
United
| Professional | $486.24 | $537.98 | $823.26 |