| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
BCBS
| Professional | $62.67 | $62.67 | $62.67 | |
Cigna
| Facility | $194.60 | $321.63 | $391.39 | |
Moda Health
| Facility | $74.83 | $92.99 | $250.12 | |
Providence
| Facility | $76.08 | $105.90 | $358.61 |