| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $417.15 | $1,446.89 | $1,446.89 | |
Cigna
| Facility | $344.22 | $526.54 | $526.54 | |
Cigna
| Professional | $344.22 | $428.20 | $526.54 | |
Providence
| Facility | $279.58 | $501.48 | $526.54 | |
Providence
| Professional | $344.22 | $395.20 | $540.27 | |
United
| Professional | $226.12 | $250.18 | $416.97 |