| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.40 | $2,076.63 | $2,076.63 | |
BCBS
| Facility | $432.77 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $468.29 | $629.77 | $954.35 | |
Cigna
| Professional | $222.00 | $463.59 | $468.29 | |
Providence
| Facility | $468.29 | $629.77 | $954.35 | |
Providence
| Professional | $290.66 | $322.95 | $468.29 | |
United
| Professional | $135.63 | $135.63 | $443.93 |