| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.22 | $1,590.58 | $1,590.58 | |
BCBS
| Professional | $435.35 | $435.35 | $435.35 | |
Cigna
| Facility | $273.20 | $468.09 | $468.09 | |
Cigna
| Professional | $273.20 | $380.66 | $468.09 | |
Providence
| Facility | $230.52 | $445.80 | $468.09 | |
Providence
| Professional | $273.20 | $351.32 | $503.31 | |
United
| Professional | $186.43 | $206.27 | $315.66 |