| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.79 | $961.47 | $961.47 | |
BCBS
| Professional | $325.43 | $325.43 | $325.43 | |
Cigna
| Facility | $349.90 | $349.90 | $349.90 | |
Cigna
| Professional | $349.90 | $349.90 | $349.90 | |
Providence
| Facility | $349.90 | $349.90 | $349.90 | |
Providence
| Professional | $247.15 | $262.61 | $317.18 | |
United
| Professional | $360.84 | $429.94 | $491.36 |