| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.87 | $312.99 | $1,850.93 | |
BCBS
| Professional | $57.31 | $57.31 | $443.78 | |
Cigna
| Facility | 26 | $57.31 | $57.31 | $70.84 |
Cigna
| Professional | $269.93 | $443.78 | $864.51 | |
Providence
| Facility | 26 | $57.31 | $57.31 | $70.84 |
Providence
| Professional | $275.75 | $402.85 | $548.24 | |
United
| Professional | $273.94 | $288.20 | $565.98 |