| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.65 | $2,516.31 | $2,516.31 | |
Cigna
| Facility | $408.71 | $700.11 | $700.11 | |
Cigna
| Professional | $408.71 | $569.34 | $700.11 | |
Providence
| Facility | $364.67 | $666.77 | $700.11 | |
Providence
| Professional | $408.71 | $525.47 | $733.47 | |
United
| Professional | $294.93 | $326.32 | $499.35 |