| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $508.87 | $585.20 | $3,272.03 | |
BCBS
| Professional | $681.89 | $681.89 | $681.89 | |
Cigna
| Facility | $737.86 | $865.08 | $2,900.56 | |
Cigna
| Professional | $241.73 | $737.86 | $737.86 | |
Providence
| Facility | $737.86 | $865.08 | $2,900.56 | |
Providence
| Professional | $457.98 | $457.98 | $737.86 | |
United
| Professional | $213.73 | $213.73 | $508.87 |