| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $547.27 | $4,007.29 | $4,007.29 | |
Cigna
| Facility | $740.83 | $1,279.74 | $1,279.74 | |
Cigna
| Professional | $740.83 | $1,040.69 | $1,279.74 | |
Providence
| Facility | $580.75 | $1,218.80 | $1,279.74 | |
Providence
| Professional | $740.83 | $960.50 | $1,309.09 | |
United
| Professional | $469.69 | $519.67 | $594.89 |