| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $359.43 | $359.43 | $412.82 | |
Cigna
| Facility | $406.23 | $406.23 | $408.00 | |
Cigna
| Professional | $386.09 | $408.00 | $408.00 | |
Providence
| Facility | $355.88 | $355.88 | $600.00 | |
Providence
| Professional | $386.09 | $408.00 | $776.79 | |
United
| Professional | $480.00 | $480.00 | $480.00 |