| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.95 | $336.83 | $893.95 | |
BCBS
| Professional | $474.64 | $527.38 | $527.38 | |
Cigna
| Facility | $527.38 | $527.38 | $527.38 | |
Cigna
| Professional | $317.88 | $477.70 | $752.14 | |
Providence
| Facility | $245.74 | $449.54 | $640.72 | |
Providence
| Professional | $351.55 | $579.16 | $901.20 | |
United
| Professional | $454.02 | $565.79 | $690.89 |