| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.95 | $2,064.55 | $2,064.55 | |
Cigna
| Facility | $335.34 | $623.46 | $623.46 | |
Cigna
| Professional | $335.34 | $507.01 | $623.46 | |
Providence
| Facility | $299.20 | $593.77 | $623.46 | |
Providence
| Professional | $335.34 | $467.94 | $623.91 | |
United
| Professional | $241.99 | $267.73 | $409.71 |