| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $712.50 | $2,471.30 | $2,471.30 | |
Cigna
| Facility | $624.54 | $931.51 | $931.51 | |
Cigna
| Professional | $624.54 | $931.51 | $931.51 | |
Providence
| Facility | $437.06 | $887.15 | $931.51 | |
Providence
| Professional | $624.54 | $699.15 | $932.20 | |
United
| Professional | $353.48 | $391.10 | $620.28 |