| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.39 | $374.36 | $414.00 | |
Aetna
| Professional | $240.00 | $337.04 | $560.00 | |
BCBS
| Facility | $491.38 | $77,999.99 | $94,999.99 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Providence
| Professional | $368.58 | $368.58 | $369.13 | |
United
| Professional | $371.87 | $371.87 | $394.91 |