| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $975.00 | $1,868.75 | $10,448.79 | |
BCBS
| Professional | $2,177.50 | $2,177.50 | $2,177.50 | |
Cigna
| Facility | $2,356.25 | $3,168.75 | $4,801.88 | |
Cigna
| Professional | $1,867.59 | $2,356.25 | $2,356.25 | |
Providence
| Facility | $2,356.25 | $3,168.75 | $4,801.88 | |
Providence
| Professional | $1,462.50 | $1,625.00 | $2,356.25 | |
United
| Professional | $682.50 | $682.50 | $2,782.24 |