| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $836.54 | $6,125.35 | $6,125.35 | |
Cigna
| Facility | $1,407.05 | $2,308.94 | $2,308.94 | |
Cigna
| Professional | $1,407.05 | $2,308.94 | $2,308.94 | |
Providence
| Facility | $1,083.33 | $2,199.00 | $2,308.94 | |
Providence
| Professional | $1,710.15 | $1,771.37 | $2,310.62 | |
United
| Professional | $876.16 | $969.40 | $1,615.66 |