| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $819.00 | $5,996.89 | $5,996.89 | |
BCBS
| Professional | $2,176.77 | $2,176.77 | $2,176.77 | |
Cigna
| Facility | $1,108.41 | $2,340.46 | $2,340.46 | |
Cigna
| Professional | $1,108.41 | $1,903.28 | $2,340.46 | |
Providence
| Facility | $974.00 | $2,229.01 | $2,340.46 | |
Providence
| Professional | $1,108.41 | $1,756.62 | $2,342.16 | |
United
| Professional | $787.74 | $871.57 | $997.71 |