| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $434.26 | $3,179.80 | $3,179.80 | |
Cigna
| Facility | $565.73 | $969.99 | $969.99 | |
Cigna
| Professional | $565.73 | $788.80 | $969.99 | |
Providence
| Facility | $487.57 | $923.80 | $969.99 | |
Providence
| Professional | $565.73 | $728.02 | $970.69 | |
United
| Professional | $394.33 | $436.30 | $499.43 |