| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $838.71 | $6,141.28 | $6,141.28 | |
Cigna
| Facility | $1,030.36 | $1,970.39 | $1,970.39 | |
Cigna
| Professional | $1,030.36 | $1,970.39 | $1,970.39 | |
Providence
| Facility | $890.02 | $1,876.56 | $1,970.39 | |
Providence
| Professional | $1,410.24 | $1,511.63 | $1,971.82 | |
United
| Professional | $719.81 | $796.42 | $1,327.36 |