| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $883.01 | $3,062.66 | $3,062.66 | |
Cigna
| Facility | $582.20 | $906.15 | $906.15 | |
Cigna
| Professional | $582.20 | $736.89 | $906.15 | |
Providence
| Facility | $481.14 | $863.00 | $906.15 | |
Providence
| Professional | $582.20 | $680.10 | $906.80 | |
United
| Professional | $389.13 | $430.54 | $663.45 |