| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $267.51 | $267.51 | $267.51 | |
BCBS
| Professional | $2,156.83 | $2,156.83 | $2,156.83 | |
Cigna
| Facility | $345.98 | $345.98 | $345.98 | |
Cigna
| Professional | $345.98 | $345.98 | $345.98 | |
Providence
| Facility | $345.98 | $345.98 | $345.98 | |
Providence
| Professional | $199.28 | $298.94 | $431.20 | |
United
| Professional | $282.52 | $326.36 | $571.15 |