| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $259.54 | $1,900.41 | $1,900.41 | |
Cigna
| Facility | $387.54 | $576.63 | $576.63 | |
Cigna
| Professional | $387.54 | $468.93 | $576.63 | |
Providence
| Facility | $275.42 | $549.16 | $576.63 | |
Providence
| Professional | $387.54 | $432.78 | $601.09 | |
United
| Professional | $222.74 | $246.45 | $282.11 |