| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.43 | $332.97 | $366.26 | |
BCBS
| Professional | $536.84 | $536.84 | $536.84 | |
Cigna
| Facility | $536.84 | $536.84 | $536.84 | |
Cigna
| Professional | $372.23 | $536.84 | $544.16 | |
Providence
| Facility | $262.67 | $577.85 | $612.26 | |
Providence
| Professional | $326.08 | $489.18 | $705.60 | |
United
| Professional | $453.54 | $569.34 | $938.89 |