| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.79 | $1,865.65 | $1,865.65 | |
BCBS
| Professional | $513.29 | $513.29 | $513.29 | |
Cigna
| Facility | $328.44 | $551.90 | $551.90 | |
Cigna
| Professional | $328.44 | $448.81 | $551.90 | |
Providence
| Facility | $293.04 | $525.62 | $551.90 | |
Providence
| Professional | $328.44 | $414.23 | $552.29 | |
United
| Professional | $237.00 | $262.22 | $401.27 |