| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $411.13 | $1,425.96 | $1,425.96 | |
Cigna
| Facility | $239.78 | $515.98 | $515.98 | |
Cigna
| Professional | $239.78 | $419.60 | $515.98 | |
Providence
| Facility | $206.66 | $491.41 | $515.98 | |
Providence
| Professional | $239.78 | $387.26 | $516.35 | |
United
| Professional | $167.14 | $184.93 | $293.29 |