| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,461.57 | $2,434.92 | $2,434.92 | |
Cigna
| Facility | $482.77 | $919.66 | $919.66 | |
Cigna
| Professional | $482.77 | $919.66 | $919.66 | |
Providence
| Facility | $482.77 | $875.87 | $919.66 | |
Providence
| Professional | $690.25 | $705.53 | $920.33 | |
United
| Professional | $359.22 | $385.44 | $611.30 |