| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.79 | $1,660.67 | $1,660.67 | |
Cigna
| Facility | $279.26 | $534.85 | $534.85 | |
Cigna
| Professional | $279.26 | $434.94 | $534.85 | |
Providence
| Facility | $240.67 | $509.38 | $534.85 | |
Providence
| Professional | $279.26 | $401.43 | $535.24 | |
United
| Professional | $194.65 | $215.36 | $341.56 |