| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $232.76 | $1,301.43 | $1,301.43 | |
BCBS
| Professional | $271.22 | $271.22 | $271.22 | |
Cigna
| Facility | $293.48 | $344.08 | $1,153.68 | |
Cigna
| Professional | $293.48 | $293.48 | $293.48 | |
Providence
| Facility | $293.48 | $344.08 | $1,153.68 | |
Providence
| Professional | $182.16 | $182.16 | $293.48 | |
United
| Professional | $79.95 | $85.01 | $202.40 |