| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $482.40 | $1,673.20 | $1,673.20 | |
BCBS
| Professional | $525.29 | $525.29 | $525.29 | |
Cigna
| Facility | $271.77 | $564.80 | $564.80 | |
Cigna
| Professional | $271.77 | $459.30 | $564.80 | |
Providence
| Facility | $242.49 | $537.91 | $564.80 | |
Providence
| Professional | $271.77 | $423.91 | $565.21 | |
United
| Professional | $196.11 | $216.98 | $334.37 |