| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,228.54 | $11,198.00 | $11,198.00 | |
Cigna
| Facility | $2,782.58 | $3,562.14 | $3,562.14 | |
Cigna
| Professional | $2,549.48 | $3,562.14 | $3,562.14 | |
Providence
| Facility | $1,891.40 | $3,392.51 | $3,562.14 | |
Providence
| Professional | $2,673.54 | $2,782.58 | $3,975.59 | |
United
| Professional | $1,529.69 | $1,692.48 | $2,684.27 |