| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $777.98 | $4,349.89 | $4,349.89 | |
BCBS
| Professional | $906.51 | $906.51 | $906.51 | |
Cigna
| Facility | $980.93 | $1,150.05 | $3,856.05 | |
Cigna
| Professional | $334.11 | $980.93 | $980.93 | |
Providence
| Facility | $980.93 | $1,150.05 | $3,856.05 | |
Providence
| Professional | $608.85 | $608.85 | $980.93 | |
United
| Professional | $284.13 | $284.13 | $676.50 |