| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.30 | $1,371.52 | $1,371.52 | |
BCBS
| Professional | $285.82 | $285.82 | $285.82 | |
Cigna
| Facility | $309.29 | $362.61 | $1,215.81 | |
Cigna
| Professional | $309.29 | $309.29 | $309.29 | |
Providence
| Facility | $309.29 | $362.61 | $1,215.81 | |
Providence
| Professional | $191.97 | $191.97 | $309.29 | |
United
| Professional | $63.62 | $89.59 | $151.71 |