| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.42 | $340.16 | $1,901.93 | |
BCBS
| Professional | $396.36 | $396.36 | $396.36 | |
Cigna
| Facility | $428.90 | $502.84 | $1,686.00 | |
Cigna
| Professional | $139.83 | $428.90 | $428.90 | |
Providence
| Facility | $428.90 | $502.84 | $1,686.00 | |
Providence
| Professional | $266.20 | $266.20 | $428.90 | |
United
| Professional | $124.23 | $124.23 | $295.79 |