| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $402.44 | $2,946.76 | $2,946.76 | |
BCBS
| Professional | $748.04 | $748.04 | $748.04 | |
Cigna
| Facility | $550.80 | $804.29 | $804.29 | |
Cigna
| Professional | $550.80 | $654.04 | $804.29 | |
Providence
| Facility | $427.06 | $765.99 | $804.29 | |
Providence
| Professional | $550.80 | $603.66 | $804.88 | |
United
| Professional | $345.38 | $382.15 | $584.78 |