| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.22 | $363.31 | $423.97 | |
BCBS
| Professional | $593.10 | $593.10 | $593.10 | |
Cigna
| Facility | $593.10 | $593.10 | $593.10 | |
Cigna
| Professional | $532.27 | $593.10 | $593.10 | |
Providence
| Facility | $593.10 | $593.10 | $593.10 | |
Providence
| Professional | $363.94 | $532.27 | $787.50 | |
United
| Professional | $583.45 | $673.21 | $1,039.69 |