| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.00 | $303.00 | $571.53 | |
BCBS
| Professional | $557.54 | $557.54 | $557.54 | |
Cigna
| Facility | $315.25 | $599.47 | $599.47 | |
Cigna
| Professional | $315.25 | $487.49 | $599.47 | |
Providence
| Facility | $281.27 | $570.91 | $599.47 | |
Providence
| Professional | $315.25 | $449.93 | $599.90 | |
United
| Professional | $227.48 | $251.69 | $288.12 |