| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,289.28 | $4,471.79 | $4,471.79 | |
Cigna
| Facility | $1,111.22 | $1,689.03 | $1,689.03 | |
Cigna
| Professional | $1,111.22 | $1,689.03 | $1,689.03 | |
Providence
| Facility | $791.08 | $1,608.60 | $1,689.03 | |
Providence
| Professional | $1,248.49 | $1,295.79 | $1,690.26 | |
United
| Professional | $639.79 | $707.89 | $1,090.83 |