| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.82 | $1,411.04 | $1,411.04 | |
BCBS
| Professional | $390.81 | $390.81 | $390.81 | |
Cigna
| Facility | $306.16 | $420.20 | $420.20 | |
Cigna
| Professional | $306.16 | $341.71 | $420.20 | |
Providence
| Facility | $221.92 | $400.19 | $420.20 | |
Providence
| Professional | $306.16 | $315.38 | $442.60 | |
United
| Professional | $179.48 | $198.59 | $314.95 |