| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $378.84 | $2,773.95 | $2,773.95 | |
Cigna
| Facility | $450.57 | $757.12 | $757.12 | |
Cigna
| Professional | $450.57 | $615.70 | $757.12 | |
Providence
| Facility | $402.02 | $721.07 | $757.12 | |
Providence
| Professional | $450.57 | $568.25 | $819.78 | |
United
| Professional | $325.13 | $359.73 | $417.28 |