| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,836.52 | $9,838.32 | $9,838.32 | |
Cigna
| Facility | $2,425.11 | $3,572.64 | $3,572.64 | |
Cigna
| Professional | $2,425.11 | $2,905.30 | $3,572.64 | |
Providence
| Facility | $1,760.50 | $3,402.51 | $3,572.64 | |
Providence
| Professional | $2,425.11 | $2,681.42 | $3,704.83 | |
United
| Professional | $1,423.83 | $1,575.35 | $2,427.57 |