| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $405.94 | $1,337.58 | $1,337.58 | |
BCBS
| Professional | $452.73 | $452.73 | $452.73 | |
Cigna
| Facility | $486.78 | $486.78 | $486.78 | |
Cigna
| Professional | $486.78 | $486.78 | $486.78 | |
Providence
| Facility | $486.78 | $486.78 | $486.78 | |
Providence
| Professional | $343.83 | $365.35 | $441.26 | |
United
| Professional | $502.00 | $598.13 | $683.58 |