| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $616.60 | $870.96 | |
BCBS
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $81.28 | $81.28 | $1,380.38 | |
Providence
| Facility | $77.62 | $100.00 | $436.52 | |
Providence
| Professional | $79.43 | $79.43 | $1,380.38 | |
United
| Facility | $48.98 | $70.79 | $707.95 | |
United
| Professional | $51.29 | $52.48 | $588.84 |