| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $658.98 | $2,285.62 | $2,285.62 | |
Cigna
| Facility | $525.23 | $861.60 | $861.60 | |
Cigna
| Professional | $525.23 | $861.60 | $861.60 | |
Providence
| Facility | $525.23 | $820.57 | $861.60 | |
Providence
| Professional | $525.23 | $646.66 | $862.22 | |
United
| Professional | $326.93 | $361.72 | $573.67 |