| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.03 | $1,176.75 | $1,176.75 | |
BCBS
| Professional | $333.60 | $333.60 | $333.60 | |
Cigna
| Facility | $278.10 | $359.49 | $359.49 | |
Cigna
| Professional | $278.10 | $359.49 | $359.49 | |
Providence
| Facility | $137.74 | $278.10 | $359.49 | |
Providence
| Professional | $196.07 | $261.42 | $359.49 | |
United
| Professional | $175.30 | $186.23 | $310.39 |