| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.56 | $146.57 | $335.77 | |
BCBS
| Professional | $3,214.25 | $3,214.25 | $3,214.25 | |
Cigna
| Facility | $233.36 | $233.36 | $233.36 | |
Providence
| Facility | $233.36 | $500.00 | $500.00 |