| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.00 | $761.22 | $3,483.15 | |
BCBS
| Professional | $988.74 | $988.74 | $988.74 | |
Cigna
| Facility | $758.68 | $1,065.47 | $1,065.47 | |
Cigna
| Professional | $758.68 | $1,065.47 | $1,065.47 | |
Providence
| Facility | $407.79 | $758.68 | $1,065.47 | |
Providence
| Professional | $580.91 | $758.68 | $1,065.47 | |
United
| Professional | $519.01 | $551.38 | $620.37 |