| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $411.19 | $2,299.11 | $2,299.11 | |
BCBS
| Facility | $479.13 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $518.46 | $697.24 | $1,056.58 | |
Cigna
| Professional | $245.82 | $513.66 | $518.46 | |
Providence
| Facility | $518.46 | $697.24 | $1,056.58 | |
Providence
| Professional | $321.80 | $357.56 | $518.46 | |
United
| Professional | $150.18 | $150.18 | $491.49 |