| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.57 | $3,042.91 | $3,042.91 | |
BCBS
| Professional | $772.44 | $772.44 | $772.44 | |
Cigna
| Facility | $494.25 | $830.53 | $830.53 | |
Cigna
| Professional | $494.25 | $675.40 | $830.53 | |
Providence
| Facility | $440.99 | $790.98 | $830.53 | |
Providence
| Professional | $494.25 | $623.35 | $909.63 | |
United
| Professional | $356.66 | $394.61 | $603.86 |