| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $465.97 | $502.88 | $535.16 | |
Cigna
| Facility | $572.52 | $572.52 | $572.52 | |
Cigna
| Professional | $461.36 | $572.52 | $572.52 | |
Providence
| Facility | $461.36 | $572.52 | $651.29 | |
Providence
| Professional | $500.53 | $500.53 | $1,123.74 | |
United
| Professional | $461.36 | $461.36 | $461.36 |