| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.00 | $848.15 | $2,859.61 | |
Aetna
| Professional | $479.30 | $2,679.90 | $2,679.90 | |
BCBS
| Facility | $1,452.07 | $68,999.99 | $94,999.99 | |
Cigna
| Facility | $604.33 | $708.53 | $2,375.65 | |
Cigna
| Professional | $270.99 | $604.33 | $604.33 | |
Providence
| Facility | $604.33 | $708.53 | $2,375.65 | |
Providence
| Professional | $375.10 | $375.10 | $604.33 | |
United
| Professional | $175.05 | $175.05 | $416.78 |