| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $293.20 | $2,146.85 | $2,146.85 | |
BCBS
| Professional | $565.88 | $565.88 | $565.88 | |
Cigna
| Facility | $419.04 | $608.42 | $608.42 | |
Cigna
| Professional | $419.04 | $494.79 | $608.42 | |
Providence
| Facility | $311.14 | $579.46 | $608.42 | |
Providence
| Professional | $419.04 | $456.66 | $634.98 | |
United
| Professional | $251.63 | $278.41 | $318.70 |