| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.00 | $424.49 | $3,108.22 | |
BCBS
| Professional | $1,091.90 | $1,091.90 | $1,091.90 | |
Cigna
| Facility | $616.27 | $1,174.02 | $1,174.02 | |
Cigna
| Professional | $616.27 | $1,174.02 | $1,174.02 | |
Providence
| Facility | $616.27 | $1,118.10 | $1,174.02 | |
Providence
| Professional | $616.27 | $881.15 | $1,174.85 | |
United
| Professional | $470.09 | $492.02 | $780.35 |