| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $462.44 | $2,585.63 | $2,585.63 | |
BCBS
| Professional | $538.84 | $538.84 | $538.84 | |
Cigna
| Facility | $583.07 | $683.60 | $2,292.08 | |
Cigna
| Professional | $583.07 | $583.07 | $583.07 | |
Providence
| Facility | $583.07 | $683.60 | $2,292.08 | |
Providence
| Professional | $361.91 | $361.91 | $583.07 | |
United
| Professional | $168.89 | $168.89 | $402.12 |