| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $742.75 | $796.99 | $4,219.21 | |
BCBS
| Professional | $131.44 | $131.44 | $1,026.35 | |
Cigna
| Facility | 26 | $131.44 | $131.44 | $162.50 |
Cigna
| Professional | $750.29 | $883.59 | $1,999.61 | |
Providence
| Facility | 26 | $131.44 | $131.44 | $162.50 |
Providence
| Professional | $646.67 | $916.14 | $1,243.77 | |
United
| Professional | $619.33 | $637.80 | $1,289.77 |