| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $523.07 | $523.07 | $523.07 | |
BCBS
| Professional | $107.66 | $107.66 | $107.66 | |
Cigna
| Professional | $59.64 | $59.64 | $1,389.84 | |
Providence
| Facility | $74.75 | $79.89 | $1,024.96 | |
Providence
| Professional | $59.64 | $59.64 | $1,389.84 | |
United
| Professional | $438.49 | $438.49 | $515.94 |