| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.49 | $2,525.86 | $2,525.86 | |
BCBS
| Professional | $793.96 | $793.96 | $793.96 | |
Cigna
| Facility | $793.96 | $793.96 | $793.96 | |
Cigna
| Professional | $558.27 | $793.96 | $821.78 | |
Providence
| Facility | $388.62 | $857.35 | $909.54 | |
Providence
| Professional | $478.78 | $718.24 | $1,036.00 | |
United
| Professional | $674.92 | $844.15 | $1,388.43 |