| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $453.90 | $489.85 | $521.30 | |
Cigna
| Facility | $551.02 | $551.02 | $551.02 | |
Cigna
| Professional | $449.41 | $551.02 | $551.02 | |
Providence
| Facility | $449.41 | $551.02 | $767.00 | |
Providence
| Professional | $487.57 | $487.57 | $635.96 | |
United
| Professional | $449.41 | $449.41 | $449.41 |