| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.87 | $3,228.14 | $3,228.14 | |
BCBS
| Professional | $886.61 | $886.61 | $886.61 | |
Cigna
| Facility | $524.34 | $953.28 | $953.28 | |
Cigna
| Professional | $524.34 | $775.22 | $953.28 | |
Providence
| Facility | $467.84 | $907.89 | $953.28 | |
Providence
| Professional | $524.34 | $715.48 | $986.71 | |
United
| Professional | $378.37 | $418.64 | $640.62 |