| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,374.15 | $4,766.14 | $4,766.14 | |
Cigna
| Facility | $1,324.18 | $2,312.67 | $2,312.67 | |
Cigna
| Professional | $1,324.18 | $1,880.68 | $2,312.67 | |
Providence
| Facility | $920.97 | $2,202.54 | $2,312.67 | |
Providence
| Professional | $1,324.18 | $1,735.76 | $2,314.34 | |
United
| Professional | $744.85 | $824.12 | $1,307.04 |