| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $578.91 | $578.91 | $578.91 | |
BCBS
| Facility | $674.56 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $729.93 | $729.93 | $729.93 | |
Cigna
| Professional | $525.00 | $656.25 | $729.93 | |
Providence
| Facility | $729.93 | $729.93 | $729.93 | |
Providence
| Professional | $453.06 | $503.40 | $729.93 | |
United
| Professional | $211.43 | $211.43 | $503.40 |