| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $544.42 | $1,888.30 | $1,888.30 | |
Cigna
| Facility | $484.42 | $723.21 | $723.21 | |
Cigna
| Professional | $484.42 | $588.11 | $723.21 | |
Providence
| Facility | $364.88 | $688.77 | $723.21 | |
Providence
| Professional | $484.42 | $542.79 | $723.73 | |
United
| Professional | $295.10 | $326.51 | $517.84 |