| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.83 | $791.01 | $4,104.97 | |
BCBS
| Professional | $1,053.02 | $1,053.02 | $1,053.02 | |
Cigna
| Facility | $854.15 | $1,134.96 | $1,134.96 | |
Cigna
| Professional | $854.15 | $1,134.96 | $1,134.96 | |
Providence
| Facility | $471.84 | $854.15 | $1,134.96 | |
Providence
| Professional | $635.41 | $847.22 | $1,134.96 | |
United
| Professional | $593.27 | $630.26 | $1,050.44 |