| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $345.08 | $418.76 | $2,269.15 | |
BCBS
| Professional | $119.88 | $119.88 | $537.89 | |
Cigna
| Facility | 26 | $119.88 | $119.88 | $148.19 |
Cigna
| Professional | $500.49 | $658.82 | $912.34 | |
Providence
| Facility | 26 | $119.88 | $119.88 | $148.19 |
Providence
| Professional | $368.73 | $567.24 | $886.43 | |
United
| Professional | $336.82 | $476.09 | $695.90 |