| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.10 | $1,224.70 | $1,224.70 | |
BCBS
| Professional | $310.89 | $310.89 | $310.89 | |
Cigna
| Facility | $221.07 | $334.27 | $334.27 | |
Cigna
| Professional | $221.07 | $271.83 | $334.27 | |
Providence
| Facility | $177.49 | $318.35 | $334.27 | |
Providence
| Professional | $221.07 | $250.88 | $366.10 | |
United
| Professional | $143.55 | $158.83 | $244.74 |