| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $662.18 | $2,296.71 | $2,296.71 | |
BCBS
| Professional | $777.37 | $777.37 | $777.37 | |
Cigna
| Facility | $380.63 | $835.83 | $835.83 | |
Cigna
| Professional | $380.63 | $679.69 | $835.83 | |
Providence
| Facility | $332.85 | $796.03 | $835.83 | |
Providence
| Professional | $380.63 | $627.33 | $836.44 | |
United
| Professional | $269.20 | $297.85 | $496.41 |