| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.37 | $2,276.60 | $2,276.60 | |
BCBS
| Professional | $577.91 | $577.91 | $577.91 | |
Cigna
| Facility | $400.78 | $621.37 | $621.37 | |
Cigna
| Professional | $400.78 | $505.31 | $621.37 | |
Providence
| Facility | $329.94 | $591.78 | $621.37 | |
Providence
| Professional | $400.78 | $466.37 | $621.83 | |
United
| Professional | $266.83 | $295.24 | $454.95 |