| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $492.46 | $531.47 | $565.60 | |
Cigna
| Facility | $563.11 | $563.11 | $563.11 | |
Cigna
| Professional | $487.59 | $563.11 | $563.11 | |
Providence
| Facility | $487.59 | $502.21 | $563.11 | |
Providence
| Professional | $528.99 | $528.99 | $867.20 | |
United
| Professional | $487.59 | $487.59 | $487.59 |