| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $484.89 | $3,550.50 | $3,550.50 | |
BCBS
| Professional | $1,244.70 | $1,244.70 | $1,244.70 | |
Cigna
| Facility | $741.89 | $1,338.30 | $1,338.30 | |
Cigna
| Professional | $741.89 | $1,338.30 | $1,338.30 | |
Providence
| Facility | $627.91 | $1,274.57 | $1,338.30 | |
Providence
| Professional | $741.89 | $1,004.45 | $1,339.27 | |
United
| Professional | $507.84 | $561.89 | $859.83 |