| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $695.12 | $2,410.98 | $2,410.98 | |
Cigna
| Facility | $468.67 | $658.06 | $658.06 | |
Cigna
| Professional | $468.67 | $658.06 | $658.06 | |
Providence
| Facility | $349.41 | $626.72 | $658.06 | |
Providence
| Professional | $468.67 | $493.89 | $703.68 | |
United
| Professional | $282.58 | $312.66 | $495.88 |