| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $586.95 | $586.95 | $645.64 | |
BCBS
| Professional | $795.47 | $795.47 | $795.47 | |
Cigna
| Facility | $647.80 | $857.38 | $857.38 | |
Cigna
| Professional | $647.80 | $857.38 | $857.38 | |
Providence
| Facility | $454.84 | $647.80 | $857.38 | |
Providence
| Professional | $559.96 | $647.80 | $857.38 | |
United
| Professional | $440.21 | $459.39 | $733.69 |