| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $611.15 | $4,475.02 | $4,475.02 | |
BCBS
| Professional | $1,568.91 | $1,568.91 | $1,568.91 | |
Cigna
| Facility | $1,115.23 | $1,686.89 | $1,686.89 | |
Cigna
| Professional | $1,115.23 | $1,686.89 | $1,686.89 | |
Providence
| Facility | $791.46 | $1,606.56 | $1,686.89 | |
Providence
| Professional | $1,115.23 | $1,266.08 | $1,688.11 | |
United
| Professional | $640.10 | $708.22 | $1,083.77 |