| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.71 | $208.71 | $208.71 | |
BCBS
| Professional | $56.65 | $56.65 | $56.65 | |
Cigna
| Facility | $310.87 | $310.87 | $600.67 | |
Cigna
| Professional | $310.87 | $486.99 | $600.67 | |
Providence
| Facility | $310.87 | $518.41 | $779.18 | |
Providence
| Professional | $310.87 | $486.99 | $600.67 | |
United
| Professional | $230.56 | $230.56 | $384.26 |