| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.58 | $274.49 | $330.22 | |
BCBS
| Professional | $291.56 | $291.56 | $291.56 | |
Cigna
| Professional | $22.70 | $358.15 | $429.10 | |
Providence
| Facility | $251.29 | $281.36 | $330.22 | |
Providence
| Professional | $22.70 | $2,250,000.00 | $2,400,000.00 |