| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $506.00 | $2,829.20 | $2,829.20 | |
BCBS
| Professional | $589.60 | $589.60 | $589.60 | |
Cigna
| Facility | $638.00 | $748.00 | $2,508.00 | |
Cigna
| Professional | $638.00 | $638.00 | $638.00 | |
Providence
| Facility | $638.00 | $748.00 | $2,508.00 | |
Providence
| Professional | $396.00 | $396.00 | $638.00 | |
United
| Professional | $74.09 | $184.80 | $440.00 |