| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.84 | $1,499.87 | $1,499.87 | |
Cigna
| Facility | $379.04 | $669.70 | $669.70 | |
Cigna
| Professional | $379.04 | $669.70 | $669.70 | |
Providence
| Facility | $289.82 | $637.80 | $669.70 | |
Providence
| Professional | $479.33 | $502.64 | $670.19 | |
United
| Professional | $234.40 | $259.33 | $298.64 |