| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $924.24 | $997.44 | $1,061.50 | |
Cigna
| Facility | $564.99 | $564.99 | $564.99 | |
Cigna
| Professional | $536.97 | $564.99 | $915.09 | |
Providence
| Facility | $564.99 | $702.35 | $915.09 | |
Providence
| Professional | $564.99 | $992.78 | $992.78 | |
United
| Professional | $915.09 | $915.09 | $915.09 |