| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $613.90 | $2,572.67 | $2,572.67 | |
BCBS
| Professional | $760.83 | $760.83 | $760.83 | |
Cigna
| Facility | $760.83 | $760.83 | $760.83 | |
Cigna
| Professional | $578.70 | $760.83 | $822.95 | |
Providence
| Facility | $375.60 | $928.20 | $944.96 | |
Providence
| Professional | $460.02 | $690.10 | $995.40 | |
United
| Professional | $666.46 | $836.62 | $1,323.68 |