| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $547.04 | $1,897.40 | $1,897.40 | |
BCBS
| Professional | $831.83 | $831.83 | $831.83 | |
Cigna
| Facility | $410.92 | $894.38 | $894.38 | |
Cigna
| Professional | $410.92 | $727.32 | $894.38 | |
Providence
| Facility | $366.64 | $851.79 | $894.38 | |
Providence
| Professional | $410.92 | $671.27 | $895.03 | |
United
| Professional | $296.52 | $328.08 | $505.56 |