| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.82 | $1,303.51 | $1,303.51 | |
BCBS
| Professional | $488.49 | $488.49 | $488.49 | |
Cigna
| Facility | $366.26 | $525.22 | $525.22 | |
Cigna
| Professional | $366.26 | $427.12 | $525.22 | |
Providence
| Facility | $243.30 | $500.21 | $525.22 | |
Providence
| Professional | $366.26 | $394.20 | $525.60 | |
United
| Professional | $196.78 | $217.72 | $345.30 |