| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Facility | $710.88 | $710.88 | $710.88 | |
Providence
| Facility | $710.88 | $710.88 | $710.88 | |
Providence
| Professional | $420.55 | $595.79 | $982.45 | |
United
| Professional | $670.27 | $734.74 | $824.95 |