| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $708.53 | $5,188.07 | $5,188.07 | |
Cigna
| Facility | $1,028.38 | $1,955.64 | $1,955.64 | |
Cigna
| Professional | $1,028.38 | $1,955.64 | $1,955.64 | |
Providence
| Facility | $917.56 | $1,862.51 | $1,955.64 | |
Providence
| Professional | $1,028.38 | $1,467.79 | $1,957.06 | |
United
| Professional | $742.09 | $821.06 | $1,256.45 |