| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.26 | $1,170.59 | $1,170.59 | |
BCBS
| Professional | $396.21 | $396.21 | $396.21 | |
Cigna
| Facility | $426.01 | $426.01 | $426.01 | |
Cigna
| Professional | $426.01 | $426.01 | $426.01 | |
Providence
| Facility | $426.01 | $426.01 | $426.01 | |
Providence
| Professional | $300.91 | $319.73 | $386.17 | |
United
| Professional | $439.33 | $523.46 | $598.24 |