| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $299.58 | $1,675.02 | $1,675.02 | |
BCBS
| Professional | $349.07 | $349.07 | $349.07 | |
Cigna
| Facility | $377.73 | $507.98 | $769.78 | |
Cigna
| Professional | $299.43 | $377.73 | $377.73 | |
Providence
| Facility | $377.73 | $507.98 | $769.78 | |
Providence
| Professional | $234.45 | $260.50 | $377.73 | |
United
| Professional | $109.41 | $109.41 | $260.50 |