| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.83 | $1,931.85 | $1,931.85 | |
BCBS
| Professional | $490.41 | $490.41 | $490.41 | |
Cigna
| Facility | $313.79 | $527.29 | $527.29 | |
Cigna
| Professional | $313.79 | $428.79 | $527.29 | |
Providence
| Facility | $279.98 | $502.18 | $527.29 | |
Providence
| Professional | $313.79 | $395.75 | $577.51 | |
United
| Professional | $226.43 | $250.53 | $383.38 |