| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.08 | $221.65 | $281.97 | |
BCBS
| Professional | $264.58 | $264.58 | $264.58 | |
Cigna
| Professional | $65.81 | $324.76 | $389.10 | |
Providence
| Facility | $202.00 | $236.49 | $291.49 | |
Providence
| Professional | $65.81 | $2,400,000.00 | $2,400,000.00 |