| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.98 | $2,994.64 | $2,994.64 | |
Cigna
| Facility | $579.51 | $893.78 | $893.78 | |
Cigna
| Professional | $579.51 | $893.78 | $893.78 | |
Providence
| Facility | $579.51 | $851.22 | $893.78 | |
Providence
| Professional | $579.51 | $670.82 | $894.42 | |
United
| Professional | $367.25 | $406.33 | $621.79 |