| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.17 | $1,641.41 | $1,641.41 | |
BCBS
| Professional | $575.48 | $575.48 | $575.48 | |
Cigna
| Facility | $325.37 | $618.75 | $618.75 | |
Cigna
| Professional | $325.37 | $618.75 | $618.75 | |
Providence
| Facility | $79.52 | $589.29 | $618.75 | |
Providence
| Professional | $464.41 | $474.70 | $619.21 | |
United
| Professional | $244.52 | $259.77 | $297.37 |